Diagnostics and therapeutics for glaucoma

ABSTRACT

Methods and compositions for diagnosing and treating glaucoma are disclosed.

RELATED APPLICATIONS

This application claims priority to U.S. Provisional Application No.60/186,073, filed 29 Feb. 2000, the entire contents of which areincorporated herein by reference.

1. BACKGROUND OF THE INVENTION

Glaucoma

Glaucoma is a group of ocular disorders, characterized by degenerationof the optic nerve. It is one of the leading causes of blindnessworldwide. One major risk factor for developing glaucoma is familyhistory. Several different inherited forms of glaucoma have beendescribed.

Primary congenital or infantile glaucoma is an inherited disorder thatis characterized by an improper development of the aqueous outflowsystem of the eye, which leads to elevated intraocular pressure,enlargement of the glove or cornea (i.e., buphthalmos), damage to theoptic nerve, and eventual visual impairment.

Primary open angle glaucoma (POAG) is a common disorder characterized byatrophy of the optic nerve resulting in visual field loss and eventualblindness. POAG has been divided into two major groups, based on age ofonset and differences in clinical presentation. Juvenile-onset POAGusually manifests itself in late childhood or early adulthood. Itsprogression is rapid and severe, with high intraocular pressure. Thistype of POAG is poorly responsive to medical treatment, and usuallyrequires ocular surgery. Adult- or late-onset POAG is the most commontype of glaucoma. It is milder and develops more gradually thanjuvenile-onset POAG, with variable onset usually after the age of 40.This type of POAG is associated with slight to moderate elevation ofintraocular pressure, and often responds satisfactorily to regularlymonitored medical treatment. Unfortunately, this disease may not bedetected until after irreversible damage to the optic nerve has alreadyoccurred because it progresses gradually and painlessly.

Both types of POAG are often associated with elevated intraocularpressure as a result of an inhibition of aqueous humor outflow throughthe trabecular meshwork. The pathophysiology of the human trabecularmeshwork (HTM) in POAG has been characterized by an increase inextracellular matrix components and a decrease in the number oftrabecular meshwork cells. It is thus probable that a defect in thestructure, function or number of HTM cells influences the pathogenesisof POAG. The pathophysiology of POAG also involves the cells of thehuman lamina cribrosa (HLC), which has been shown to possess a patternof protein expression that is similar to the HTM (Steely et al. (2000)Exp Eye Res 70: 17–30). Accordingly, POAG may have a common causalorigin in the two tissues most responsible for damage to the neuralretina. Therefore, it will be important to identify and understand thecellular control mechanisms acting within the HTM and the HLC in orderto both understand the molecular etiology of POAG and identify uniquetreatment modalities.

Cultured HTM cells have been shown to express mRNA for numerous growthfactor receptors and, furthermore, these expressed receptors have beenshown to be functional because exogenous growth factor administrationelicits a physiologic response (Wordinger et al. (1998) InvestOphthalmol Vis Sci 39: 1575–89). In vivo, these receptors may beactivated by growth factors present within the aqueous humor(aquecrine/paracrine) or by growth factors synthesized and releasedlocally by trabecular meshwork cells themselves (autocrine). Indeed,TGF-b isoforms have been shown to significantly inhibit EGF-stimulatedtrabecular meshwork cell proliferation, while FGF-1, TGF-a, EGF, IL-1a,Il-1b, HGF, TNF-a, PDGF-AA, and IGF-1 significantly stimulatedextracellular acidification (ibid.). Specific growth factors actingthrough high-affinity receptors may be involved in maintaining thenormal microenvironment of the HTM and also may be involved in thepathogenesis of POAG.

One insight into the molecular pathology comes from the observation thatglucocorticoids, which can induce ocular hypertension in both animalsand humans, alter the cytoskeletal structure of cultured HTM cells(Wilson et al. (1993) Current Eye Res 12: 783–93). These cytoskeletalchanges involve the reorganization of actin microfilaments intocross-linked actin networks (CLANs), and this structural alteration maybe the ultimate physiological change which brings about ocularhypertension (Clark et al. (1993) J Glaucoma 4: 183–88). Indeed, thehypotensive steroid tetrahydrocortisol, which has been shown to lowerthe intraocular pressure (IOP) of glucocorticoid-induced ocularhypertension, also appears to inhibit these glucocorticoid-mediatedchanges in the HTM cytoskeleton (Clark et al. (1996) Inv Ophthal & VisSci 37: 805–813).

U.S. Pat. Nos. 5,925,748, 5,916,778 and 5,885,776 disclose diagnosticmethods for glaucoma associated with mutations in the GLC1A gene andassays for identifying glaucoma therapeutics that modulate the activityof the MYOC protein encoded by the GLC1A gene. The Wnt signalingpathway.

The Wnt gene family encodes secreted ligand proteins that serve keyroles in differentiation and development. This family comprises at least15 vertebrate and invertebrate genes including the Drosophila segmentpolarity gene wingless and one of its vertebrate homologues, integratedfrom which the Wnt name derives. The Wnt proteins appear to facilitate anumber of developmental and homeostatic processes. For example,vertebrate Wnt1 appears to be active in inducing myotome formationwithin the somites and in establishing the boundaries of the midbrain(see McMahon and Bradley (1990) Cell 62: 1073; Ku and Melton (1993)Development 119: 1161; Stern et al. (1995) Development 121: 3675).During mammalian gastrulation, Wnt3a, Wnt5a, and Wnt5b are expressed indistinct yet overlapping regions within the primitive streak. Wnt3a isthe only Wnt protein seen in the regions of the streak that willgenerate the dorsal (somite) mesoderm, and mice homozygous for a nullallele of the Wnt3a gene have no somites caudal to the forelimbs. TheWnt genes also are important in establishing the polarity of vertebratelimbs, just as the invertebrate homolog wingless has been shown toestablish polarity during insect limb development. In both cases thereare interactions with Hedgehog family members as well.

The Wnt signaling pathway comprises a number of proteins involved in thetransduction of Wnt/wingless signaling and is intimately connected tothe hedgehog developmental pathway. In Drosophila, the secreted winglessprotein mediates reciprocal interaction between cells in thewingless-hedgehog pathway by binding to neighboring cells through theFrizzled receptor. The Frizzled receptor then activates Dishelveledprotein, which blocks the inhibiting action of Zeste-white-3 kinase uponthe Armadillo protein (a beta-catenin protein). The active Armadilloprotein, acts with the high mobility group (HMG) protein LEF/TCF(Lymphoid Enhancer Factor/T-Cell Factor) to promote nuclear expressionof the hedgehog (hh) gene. Hedgehog is a secreted protein which can bindto cells adjacent to the Wnt/wingless-activated cell through anotherreceptor, the Patched protein. Binding of the Hedgehog protein to thePatched receptor activates nuclear expression of the wingless protein,which is then secreted and further reinforces the reciprocal signalingwith the neighboring hedgehog-secreting cell. The Wnt/Wingless-Hedgehogreciprocal signaling system thereby facilitates the differentialdetermination of two adjacent cells during vertebrate and invertebratedevelopment. This results in the stabilization of a differentiatedborder wherein the tissue on one side secretes Hedgehog protein, whilethe tissue on the other side produces Wingless. Indeed, the cell surfaceplays an extremely critical role in development and homeostasis byeffecting the differential adhesion of one cell to another, as well asto an extracellular matrix. Furthermore, once differential cell adhesionhas occurred, the action of Wnt/Wingless-Hedgehog processes facilitatesthe continued signaling between adjacent cell layers.

This Wnt/Wingless border is critical in the production of segments andappendages in Drosophila as well as brain and limb subdivisions in themammals (Ingham (1994) Curr Biol 4: 1; Niswander et al. (1994) Nature371: 609; Wilder and Perrimon (1995) Development 121: 477). In Xenopus,frizzled-2 receptor (xfz2) is highly expressed following gastrulation inthe eye anlage and otic vesicle (Deardorff and Klein (1999) Mech Dev 87:229), and in chicken, a particular Wnt gene family member, Wnt13, hasbeen shown to be expressed in the proliferative epithelium of the lensand both pigmented and non-pigmented layers of the ciliary margin(Jasoni et al. (1999) Dev Dyn 215: 215). The reciprocalWnt/Wingless-Hedgehog pathway may also play a role in the maintenance ofnormal differentiated somatic tissue. For example, in human, sporadicloss-of-function mutations of the patched gene in somatic tissues causesbasal cell carcinomas, the most common type of human cancer.Furthermore, heritable mutations of the patched gene give rise to basalcell nevus syndrome, an autosomal dominant condition characterized bydevelopmental abnormalities, including rib and craniofacial alterations,and malignant tumors (Hahn et al. (1996) Cell 85: 841; Johnson et al.(1996) Science 272: 1668).

Recently a protein homologous to mammalian Wnt receptor Frizzled, termedthe secreted or soluble frizzled related protein 5 (SFRP5) has beenshown to be preferentially expressed by the vertebrate retinal pigmentepithelium (RPE) (Chang et al. (1999) Hum Mol Genet 8: 575).Furthermore, another SFRP, SPRP2 has been shown to be expressedspecifically by cells of the inner nuclear layer. As a result,photoreceptor cells of the retina are exposed to two opposing gradientsof SFRP molecules. Because the frizzled related proteins do not containa membrane spanning domain, they are thought to be a secreted, solubleform of the receptor which interferes with Wnt signaling through thenormal seven transmembrane Frizzled receptor. Indeed, FrzA, an sFRP thatis highly expressed in vascular endothelium and a variety of epithelium,specifically binds to Wnt-1 protein and thereby blocks Wnt-1 signalingthrough the Frizzled receptor (Dennis et al. (1999) J Cell Sci 112:3815).

2. SUMMARY OF THE INVENTION

In one aspect, the present invention provides novel methods and kits fordetermining whether a subject has or is predisposed to developingglaucoma. In one embodiment, the method is based on determining therelative level or activity of a Frizzle Related Protein (FRP), awingless (Wnt) signaling pathway component, a gene activated by Wntsignaling or the gene product of a gene activated by Wnt signaling. Inpreferred embodiments, the assay is performed on trabecular meshworkcells obtained from a subject. The method can include detecting inappropriate cells, the presence or absence of a genetic lesioncharacterized by at least one of: (i) a mutation of a gene encodingFrizzle Related Protein (FRP-1), a Wnt signaling component or a genewhose expression is activated by Wnt signaling; (ii) the misexpressionof FRP, a Wnt signaling component or a gene whose expression isactivated by Wnt signaling; or (iii) an error or mutation in thepromoter regulating FRP, a Wnt signaling component or a gene whoseexpression is activated by Wnt signaling, said error or mutation leadingto aberrant expression.

In particularly preferred embodiments, the diagnostic methods compriseascertaining the existence of at least one of (a) a deletion of one ormore nucleotides from a wildtype FRP, Wnt signaling component or a genewhose expression is activated by Wnt signaling; (b) an addition of oneor more nucleotides to a wildtype FRP, Wnt signaling component or a genewhose expression is activated by Wnt signaling; (c) a substitution ofone or more nucleotides of a wildtype FRP, Wnt signaling component or agene whose expression is activated by Wnt signaling; (d) a grosschromosomal rearrangement of a wildtype FRP, Wnt signaling component ora gene whose expression is activated by Wnt signaling; (e) an alterationin the level of a messenger RNA (mRNA) transcript of a FRP, Wntsignaling component or a gene whose expression is activated by Wntsignaling; (f) the presence of a non-wildtype splicing pattern of a mRNAtranscript of an FRP, Wnt signaling component or a gene whose expressionis activated by Wnt signaling; (g) an aberrant level or activity of anFRP, Wnt signaling protein or a protein encoded by a gene whoseexpression is activated by Wnt signaling.

For example, a genetic lesion can be detected by: (i) providing probesand primers comprised of an oligonucleotide, which hybridizes to a senseor antisense sequence of an FRP, Wnt signaling component or a gene whoseexpression is activated by Wnt signaling (wildtype or mutant) orfragment thereof or 5′ or 3′ flanking sequence naturally associated withan FRP, Wnt signaling component or a gene whose expression is activatedby Wnt signaling; (ii) contacting the probes or primers to anappropriate nucleic acid containing biological sample obtained from thesubject; and (iii) detecting, by hybridization of the probes or primersto the nucleic acid, the presence or absence of the genetic lesion. In apreferred embodiment, the diagnostic methods and/or kits utilize a setof primers for amplifying (e.g. via PCR or LCR) at least one region ofan FRP, Wnt signaling component or a gene whose expression is activatedby Wnt signaling that may contain a mutation, and means for analyzingthe amplification product for differences mutations or gene expressionlevels from the normal, wildtype coding sequence. In another preferredembodiment, the diagnostic methods and/or kits utilize a probe todetermine its ability to hybridize under appropriately stringentconditions to a complementary nucleic acid sequence in the biologicalsample, wherein an inability of a probe, which is comprised of awildtype FRP, Wnt signaling component or a gene whose expression isactivated by Wnt signaling, to hybridize to the sample nucleic acid isindicative of the presence of a mutation in the sample nucleic acid; orthe ability of a probe which is comprised of a mutant FRP, Wnt signalingcomponent or a gene whose expression is activated by Wnt signaling, tohybridize to the sample nucleic acid is indicative of the presence of amutation in the sample nucleic acid. In another preferred embodiment,the protein level or activity of an FRP, Wnt signaling component or aprotein encoded by a gene whose expression is activated by Wnt signalingcan be detected using any of a variety of methods, includingimmunodetection and biochemical tests.

Information obtained using the assays and kits described herein (aloneor in conjunction with information on another genetic defect orenvironmental factor, which contributes to the development of glaucoma)is useful for determining whether a non-symptomatic subject has or islikely to develop glaucoma. In addition, the information can allow amore customized approach to the prevention or treatment of the disorder.

In another aspect, the invention provides in vitro or in vivo assays forscreening test compounds to identify therapeutics for treating orpreventing glaucoma. In particularly preferred embodiments, thetherapeutics promote Wnt signaling. In one embodiment, the method is abinding assay, which consists essentially of the steps of (a) forming areaction mixture, including: (i) an FRP or Wnt signaling polypeptide,(ii) an FRP or Wnt signaling polypeptide binding partner, and (iii) atest compound and (b) detecting interaction of the FRP or Wnt signalingpolypeptide and the binding protein. A statistically significant change(potentiation or inhibition) in the interaction of the FRP or Wntsignaling polypeptide and the binding protein in the presence of thecompound, indicates a potential agonist (mimetic or potentiator) orantagonist (inhibitor) of Wnt signaling. The reaction mixture can be acell-free protein preparation, e.g. a reconstituted protein mixture or acell lysate, a cultured cell system, or it can be a recombinant cellincluding a heterologous nucleic acid recombinantly expressing thebinding partner.

Yet another exemplary embodiment provides an assay for screening testcompounds to identify agents which promote or increase the rate of Wntsignaling and/or expression of genes, which are regulated by Wntsignaling in the trabecular meshwork. In one embodiment, the screeningassay comprises contacting a cell transfected with a reporter geneoperably linked to a promoter, which is regulated by a high mobilitygroup (HMG) protein (e.g. Lymphoid Enhancer Factor/T-Cell Factor) with atest compound and determining the level of expression of the reportergene. The reporter gene can encode, e.g., a gene product that gives riseto a detectable signal such as: color, fluorescence, luminescence, cellviability, relief of a cell nutritional requirement, cell growth, anddrug resistance. For example, the reporter gene can encode a geneproduct selected from the group consisting of chloramphenicol acetyltransferase, luciferase, beta-galactosidase and alkaline phosphatase.

In a further aspect, the invention features methods for treatingglaucoma by contacting appropriate cells (e.g. trabecular meshworkcells) with an effective amount of a compound that promotes theexpression of trabecular meshwork genes that are involved in or areregulated by Wnt signaling. Preferred compounds can be small molecules,nucleic acids (including antisense or triplex molecules and ribozymes),proteins, peptides or peptide mimetics. Particularly preferred compoundsare Frizzle Related Protein (FRP) antagonists. Particularly preferredantagonists are antisense, ribozyme or triplex molecules that inhibit ordecrease the level of FRP expressed in cells. Other preferred FRPantagonists are antibodies, which reduce or inhibit FRP binding to Wnt.

Other features and advantages of the invention will be apparent from thefollowing detailed description and claims.

3. BRIEF DESCRIPTION OF THE FIGURES

FIG. 1 shows the cDNA sequence of human Frizzle Related Protein (FRP1)(SEQ ID NO: 1).

FIG. 2 shows the amino acid sequence of the human FRP-1 (SEQ ID NO: 2).

FIG. 3 schematically depicts the Wnt signal transduction pathway.

FIG. 3( a) shows the inhibition of gene expression based on binding ofFRP to Wnt.

FIG. 3( b) shows Wnt stimulated gene expression. The binding of Wnt to afrizzled protein (Fz) activates disheveled (Dsh) which in turn preventsthe binding of glycogen-synthase-kinase 3 (GSK3) to protein kinase C(APC), which results in the accumulation of β-catenin, which in turnfacilitates interactions with the transcription factor, T cell factor(TCF), promoting gene expression.

4. DETAILED DESCRIPTION OF THE INVENTION

4.1. General

In general, the invention is based on the finding that frizzled relatedprotein-1 (FRP-1) is upregulated in the trabecular meshwork (TM) ofglaucoma patients. Although not wishing to be bound, it is thought thatthe Wnt signaling pathway works in the TM as depicted in FIG. 3( b) toregulate important trabecular meshwork cell functions and that FRP-1antagonizes normal Wnt signaling, as shown in FIG. 3( a), therebyinterfering with TM cell function.

4.2 Definitions

For convenience, the meaning of certain terms and phrases employed inthe specification, examples, and appended claims are provided below.

The term “aberrant”, as used herein is meant to refer to an alterationin a gene product level or bioactivity which is found in a glaucomatoustissue or cells but not in a nonglaucomatous tissue or cells. Forexample, an aberrantly high level of frizzle related protein geneproduct is associated with glaucomatous trabecular meshwork cellsobtained from a glaucoma patient than from nonglaucomatous trabecularmeshwork cells obtained from a normal patient. Furthermore, anaberrantly low bioactivity of Wnt pathway components is associated withtrabecular meshwork cells from a normal patient.

The term “an aberrant activity”, as applied to an activity of apolypeptide such as FRP, refers to an activity which differs from theactivity of the wild-type or native polypeptide or which differs fromthe activity of the polypeptide in a healthy subject. An activity of apolypeptide can be aberrant because it is stronger than the activity ofits native counterpart. Alternatively, an activity can be aberrantbecause it is weaker or absent relative to the activity of its nativecounterpart. An aberrant activity can also be a change in an activity.For example an aberrant polypeptide can interact with a different targetpeptide. A cell can have an aberrant FRP activity due to overexpressionor underexpression of the gene encoding FRP.

The term “agonist”, as used herein, is meant to refer to an agent thatdirectly or indirectly enhances, supplements or potentiates Wntinitiated gene expression or the level or activity of a protein encodedby a Wnt regulated gene or a gene or protein in the Wnt signalingpathway.

The term “allele”, which is used interchangeably herein with “allelicvariant” refers to alternative forms of a gene or portions thereof.Alleles occupy the same locus or position on homologous chromosomes.When a subject has two identical alleles of a gene, the subject is saidto be homozygous for the gene or allele. When a subject has twodifferent alleles of a gene, the subject is said to be heterozygous forthe gene. Alleles of a specific gene can differ from each other in asingle nucleotide, or several nucleotides, and can includesubstitutions, deletions and insertions of nucleotides. An allele of agene can also be a form of a gene containing a mutation.

The term “antagonist”, as used herein, is refers to an agent thatdirectly or indirectly prevents, minimizes or suppresses Wnt initiatedgene expression or the level or activity of a protein encoded by a Wntregulated gene or a gene or protein in the Wnt signaling pathway.

The term “binding partner”, as used herein refers to a composition ofmatter that interacts though noncolavent forces with a specified geneproduct. For example, “binding partners” of the frizzled related proteingene product include compositions of matter which interact with frizzledrelated protein gene mRNAs, such as an FRP-1 antisense polynucleotide,and compositions which interact with frizzled related proteinpolypeptides, such as Wnt polypeptides.

As used herein the term “bioactive fragment of a polypeptide” refers toa fragment of a full-length polypeptide, wherein the fragmentspecifically mimics or antagonizes an activity of the correspondingfull-length wild-type polypeptide.

“Cells”, “host cells” or “recombinant host cells” are terms usedinterchangeably herein. It is understood that such terms refer not onlyto the particular subject cell but to the progeny or potential progenyof such a cell. Because certain modifications may occur in succeedinggenerations due to either mutation or environmental influences, suchprogeny may not, in fact, be identical to the parent cell, but are stillincluded within the scope of the term as used herein.

A “chimeric polypeptide” or “fusion polypeptide” is a fusion of a firstamino acid sequence encoding, for example, one of the subject FRPpolypeptides with a second amino acid sequence defining a domain (e.g.polypeptide portion) foreign to and not substantially homologous withany domain of an FRP polypeptide. A chimeric polypeptide may present aforeign domain which is found (albeit in a different polypeptide) in anorganism which also expresses the first polypeptide, or it may be an“interspecies”, “intergenic”, etc. fusion of polypeptide structuresexpressed by different kinds of organisms. In general, a fusionpolypeptide can be represented by the general formula X-FRP-Y, whereinFRP represents a portion of the polypeptide which is derived from an FRPpolypeptide, and X and Y are independently absent or represent aminoacid sequences which are not related to an FRP sequence in an organism,including naturally occurring mutants.

A “delivery complex” shall mean a targeting means (e.g. a molecule thatresults in higher affinity binding of a gene, protein, polypeptide orpeptide to a target cell surface and/or increased cellular or nuclearuptake by a target cell). Examples of targeting means include: sterols(e.g. cholesterol), lipids (e.g. a cationic lipid, virosome orliposome), viruses (e.g. adenovirus, adeno-associated virus, andretrovirus) or target cell specific binding agents (e.g. ligandsrecognized by target cell specific receptors). Preferred complexes aresufficiently stable in vivo to prevent significant uncoupling prior tointernalization by the target cell. However, the complex is cleavableunder appropriate conditions within the cell so that the gene, protein,polypeptide or peptide is released in a functional form.

As is well known, genes may exist in single or multiple copies withinthe genome of an individual. Such duplicate genes may be identical ormay have certain modifications, including nucleotide substitutions,additions, inversions or deletions, which all still code forpolypeptides having substantially the same activity. The term “DNAsequence encoding an FRP polypeptide” may thus refer to one or moregenes within a particular individual. Moreover, certain differences innucleotide sequences may exist between individual organisms, which arecalled alleles. Such allelic differences may or may not result indifferences in amino acid sequence of the encoded polypeptide yet stillencode a polypeptide with the same biological activity.

A “Frizzled Related Protein (FRP)” can be any member of a family ofsecreted proteins with similarity to the extracellular, ligand-bindingdomain of Frizzled proteins. FRPs are also referred to as secreted orsoluble frizzled-related protein (sFRPs) because they do not contain amembrane spanning domain and hence appear to act as dominant-negativereceptors of Wnt proteins. FRPs are encoded by a number of differentvertebrate genes including: the human secreted frizzled-related proteinencoding gene Frz-1 (GenBank Accession No. AF056087); the human secretedfrizzled-related protein encoding gene SFRP5 (GenBank Accession No.AF117758); the human FrzB gene (GenBank Accession No. U24163); and theXenopus FrzA gene (Genbank Accession No. AF049908).

The term “glaucoma”, as used herein refers to a group of eye diseasescharacterized by characteristic degeneration of the optic nerve head andvisual field loss, which is often caused by increased intraocularpressure due to blockage of the channel through which aqueous humordrains (chronic or open-angle glaucoma) or by pressure of the irisagainst the lens (acute or angle-closure glaucoma).

“Homology” or “identity” or “similarity” refers to sequence similaritybetween two peptides or between two nucleic acid molecules. Homology canbe determined by comparing a position in each sequence which may bealigned for purposes of comparison. When a position in the comparedsequence is occupied by the same base or amino acid, then the moleculesare identical at that position. A degree of homology or similarity oridentity between nucleic acid sequences is a function of the number ofidentical or matching nucleotides at positions shared by the nucleicacid sequences. A degree of identity of amino acid sequences is afunction of the number of identical amino acids at positions shared bythe amino acid sequences. A degree of homology or similarity of aminoacid sequences is a function of the number of amino acids, i.e.structurally related, at positions shared by the amino acid sequences.The percentage homology between two nucleic acid or polypeptide sequencecan be determined using any of several mathematical algorithms which arewell known in the art (as provided, for example, by the BLAST sequencehomology software available online from the National Center forBiotechnology Information, National Library of Medicine, NationalInstitutes of Health, Bethesda, Md. An “unrelated” or “non-homologous”sequence shares less than 40% identity, though preferably less than 25%identity, with one of the FRP sequences of the present invention.

The term “interact” as used herein is meant to include detectableinteractions between molecules, such as can be detected using, forexample, a yeast two hybrid assay. The term interact is also meant toinclude “binding” interactions between molecules. Interactions may, forexample, be protein-protein or protein-nucleic acid or nucleicacid-nucleic acid in nature.

The term “isolated” as used herein with respect to nucleic acids, suchas DNA or RNA, refers to molecules separated from other DNAs, or RNAs,respectively, that are present in the natural source of themacromolecule. For example, an isolated nucleic acid encoding one of thesubject FRP polypeptides preferably includes no more than 10 kilobases(kb) of nucleic acid sequence which naturally immediately flanks the FRPgene in genomic DNA, more preferably no more than 5 kb of such naturallyoccurring flanking sequences, and most preferably less than 1.5 kb ofsuch naturally occurring flanking sequence. The term isolated as usedherein also refers to a nucleic acid or peptide that is substantiallyfree of cellular material, viral material, or culture medium whenproduced by recombinant DNA techniques, or chemical precursors or otherchemicals when chemically synthesized. Moreover, an “isolated nucleicacid” is meant to include nucleic acid fragments which are not naturallyoccurring as fragments and would not be found in the natural state. Theterm “isolated” is also used herein to refer to polypeptides which areisolated from other cellular proteins and is meant to encompass bothpurified and recombinant polypeptides.

The term “modulation” as used herein refers to both upregulation (i.e.,activation or stimulation (e.g., by agonizing or potentiating)) anddownregulation (i.e. inhibition or suppression (e.g., by antagonizing,decreasing or inhibiting)).

The term “mutated gene” refers to an allelic form of a gene, which iscapable of altering the phenotype of a subject having the mutated generelative to a subject which does not have the mutated gene. If a subjectmust be homozygous for this mutation to have an altered phenotype, themutation is said to be recessive. If one copy of the mutated gene issufficient to alter the phenotype of the subject, the mutation is saidto be dominant. If a subject has one copy of the mutated gene and has aphenotype that is intermediate between that of a homozygous and that ofa heterozygous subject (for that gene), the mutation is said to beco-dominant.

The “non-human animals” of the invention include mammals such asrodents, non-human primates, sheep, dogs, cows, chickens, amphibians,reptiles, rabbits, etc. Preferred non-human animals are selected fromthe rodent family including rat and mouse, most preferably mouse, thoughtransgenic amphibians, such as members of the Xenopus genus, andtransgenic chickens can also provide important tools for understandingand identifying agents which can affect, for example, embryogenesis andtissue formation. The term “chimeric animal” is used herein to refer toanimals in which the recombinant gene is found, or in which therecombinant gene is expressed in some but not all cells of the animal.The term “tissue-specific chimeric animal” indicates that one of therecombinant genes is present and/or expressed or disrupted in sometissues but not others.

As used herein, the term “nucleic acid” refers to polynucleotides suchas deoxyribonucleic acid (DNA), and, where appropriate, ribonucleic acid(RNA). The term should also be understood to include, as equivalents,analogs of either RNA or DNA made from nucleotide analogs, and, asapplicable to the embodiment being described, single (sense orantisense) and double-stranded polynucleotides.

The term “nucleotide sequence complementary to the nucleotide sequenceset forth in SEQ ID NO. x” refers to the nucleotide sequence of thecomplementary strand of a nucleic acid strand having SEQ ID NO. x. Theterm “complementary strand” is used herein interchangeably with the term“complement”. The complement of a nucleic acid strand can be thecomplement of a coding strand or the complement of a non-coding strand.When referring to double stranded nucleic acids, the complement of anucleic acid having SEQ ID NO. x refers to the complementary strand ofthe strand having SEQ ID NO. x or to any nucleic acid having thenucleotide sequence of the complementary strand of SEQ ID NO. x. Whenreferring to a single stranded nucleic acid having the nucleotidesequence SEQ ID NO. x, the complement of this nucleic acid is a nucleicacid having a nucleotide sequence which is complementary to that of SEQID NO. x. The nucleotide sequences and complementary sequences thereofare always given in the 5′ to 3′ direction.

The term “polymorphism” refers to the coexistence of more than one formof a gene or portion (e.g., allelic variant) thereof. A portion of agene of which there are at least two different forms, i.e., twodifferent nucleotide sequences, is referred to as a “polymorphic regionof a gene”. A polymorphic region can be a single nucleotide, theidentity of which differs in different alleles. A polymorphic region canalso be several nucleotides long.

A “polymorphic gene” refers to a gene having at least one polymorphicregion.

As used herein, the term “promoter” means a DNA sequence that regulatesexpression of a selected DNA sequence operably linked to the promoter,and which effects expression of the selected DNA sequence in cells. Theterm encompasses “tissue specific” promoters, i.e. promoters, whicheffect expression of the selected DNA sequence only in specific cells(e.g. cells of a specific tissue). The term also covers so-called“leaky” promoters, which regulate expression of a selected DNA primarilyin one tissue, but cause expression in other tissues as well. The termalso encompasses non-tissue specific promoters and promoters thatconstitutively express or that are inducible (i.e. expression levels canbe controlled).

The terms “protein”, “polypeptide” and “peptide” are usedinterchangeably herein when referring to an amino acid-containing geneproduct.

The term “recombinant protein” refers to a polypeptide of the presentinvention which is produced by recombinant DNA techniques, whereingenerally, DNA encoding an FRP polypeptide is inserted into a suitableexpression vector which is in turn used to transform a host cell toproduce the heterologous protein. Moreover, the phrase “derived from”,with respect to a recombinant FRP gene, is meant to include within themeaning of “recombinant protein” those proteins having an amino acidsequence of a native FRP polypeptide, or an amino acid sequence similarthereto which is generated by mutations including substitutions anddeletions (including truncation) of a naturally occurring form of thepolypeptide.

“Small molecule” as used herein, is meant to refer to a composition,which has a molecular weight of less than about 5 kD and most preferablyless than about 4 kD. Small molecules can be nucleic acids, peptides,polypeptides, peptidomimetics, carbohydrates, lipids or other organic(carbon containing) or inorganic molecules. Many pharmaceuticalcompanies have extensive libraries of chemical and/or biologicalmixtures, often fungal, bacterial, or algal extracts, which can bescreened with any of the assays of the invention to identify compoundsthat modulate FRP or Wnt signaling bioactivities.

As used herein, the term “specifically hybridizes” or “specificallydetects” refers to the ability of a nucleic acid molecule of theinvention to hybridize to at least approximately 6, 12, 20, 30, 50, 100,150, 200, 300, 350, 400 or 425 consecutive nucleotides of a vertebrate,preferably an FRP gene.

“Transcriptional regulatory sequence” is a generic term used throughoutthe specification to refer to DNA sequences, such as initiation signals,enhancers, and promoters, which induce or control transcription ofprotein coding sequences with which they are operably linked.

As used herein, the term “transfection” means the introduction of anucleic acid, e.g., via an expression vector, into a recipient cell bynucleic acid-mediated gene transfer. “Transformation”, as used herein,refers to a process in which a cell's genotype is changed as a result ofthe cellular uptake of exogenous DNA or RNA, and, for example, thetransformed cell expresses a recombinant form of an FRP polypeptide or,in the case of anti-sense expression from the transferred gene, theexpression of a naturally-occurring form of the FRP polypeptide isdisrupted.

As used herein, the term “transgene” means a nucleic acid sequence(encoding, e.g., one of the FRP polypeptides, or an antisense transcriptthereto) which has been introduced into a cell. A transgene could bepartly or entirely heterologous, i.e., foreign, to the transgenic animalor cell into which it is introduced, or, is homologous to an endogenousgene of the transgenic animal or cell into which it is introduced, butwhich is designed to be inserted, or is inserted, into the animal'sgenome in such a way as to alter the genome of the cell into which it isinserted (e.g., it is inserted at a location which differs from that ofthe natural gene or its insertion results in a knockout). A transgenecan also be present in a cell in the form of an episome. A transgene caninclude one or more transcriptional regulatory sequences and any othernucleic acid, such as introns, that may be necessary for optimalexpression of a selected nucleic acid.

A “transgenic animal” refers to any animal, preferably a non-humanmammal, bird or an amphibian, in which one or more of the cells of theanimal contain heterologous nucleic acid introduced by way of humanintervention, such as by transgenic techniques well known in the art.The nucleic acid is introduced into the cell, directly or indirectly byintroduction into a precursor of the cell, by way of deliberate geneticmanipulation, such as by microinjection or by infection with arecombinant virus. The term genetic manipulation does not includeclassical cross-breeding, or in vitro fertilization, but rather isdirected to the introduction of a recombinant DNA molecule. Thismolecule may be integrated within a chromosome, or it may beextrachromosomally replicating DNA.

The term “treating” as used herein is intended to encompass curing aswell as ameliorating at least one symptom of the condition or disease.

The term “vector” refers to a nucleic acid molecule capable oftransporting another nucleic acid to which it has been linked. One typeof preferred vector is an episome, i.e., a nucleic acid capable ofextra-chromosomal replication. Preferred vectors are those capable ofautonomous replication and expression of nucleic acids to which they arelinked. Vectors capable of directing the expression of genes to whichthey are operatively linked are referred to herein as “expressionvectors”. In general, expression vectors of utility in recombinant DNAtechniques are often in the form of “plasmids” which refer generally tocircular double stranded DNA loops which, in their vector form are notbound to the chromosome. In the present specification, “plasmid” and“vector” are used interchangeably as the plasmid is the most commonlyused form of vector. However, the invention is intended to include suchother forms of expression vectors which serve equivalent functions andwhich become known in the art subsequently hereto.

The term “wild-type allele” refers to an allele of a gene which, whenpresent in two copies in a subject results in a wild-type phenotype.There can be several different wild-type alleles of a specific gene,since certain nucleotide changes in a gene may not affect the phenotypeof a subject having two copies of the gene with the nucleotide changes.

A “Wnt signaling component” refers to a protein or gene encoding aprotein involved in a Wnt signaling pathway. Examples of such proteinsinclude: Wnt, frizzled (Fz), disheveled (Dsh), glycogen synthase kinase3 (GSK3), protein kinase C (APC), β-catenins, and high mobility group(HMG) proteins (e.g. LEF/TCF (Lymphoid Enhancer Factor/T-Cell Factor)).

“Wnt protein” refers to is encoded by a large group of mammalian genesincluding Wnt3a, Wnt5a, and Wnt5b.

4.3. Prognostics and Diagnostics for Glaucoma

Based on the instant disclosed finding that certain subjects witglaucoma have increased levels of FRP, a variety of glaucoma diagnosticscan be developed. Certain diagnostics can detect mutations in nucleicacid sequences That result in inappropriately high levels of FRP. Thesediagnostics can be developed based on the known nucleic acid sequence ofhuman FRP cDNA, as shown in FIG. 1 or the encoded amino acid sequencewhich is shown in FIG. 2. Other diagnostics can be developed based onthe genomic sequence of human FRP or of the sequence of genes thatregulate FRP expression. Still other diagnostics can be developed basedupon a change in the level of FRP gene expression at the mRNA level.

Other diagnostics can detect the activity or level of Wnt signalingproteins or genes encoding Wnt signaling proteins. For example,diagnostics can be developed that detect inappropriately low Wntsignaling activity, including for example, mutations that result ininappropriate functioning of Wnt signaling components, including:frizzled (Fz); disheveled (Dsh); glycogen synthase kinase 3 (GSK3),protein kinase C (APC), β-catenins high mobility group (HMG) proteins(e.g. LEF/TCF (Lymphoid Enhancer Factor/T-Cell Factor)), and hedgehog(Hh). In addition, non-nucleic acid based techniques may be used todetect alteration in the amount or specific activity of any of these Wntsignaling proteins.

A variety of means are currently available for detecting aberrant levelsor activities of genes and gene products. For example, many methods areavailable for detecting specific alleles at human polymorphic loci. Thepreferred method for detecting a specific polymorphic allele willdepend, in part, upon the molecular nature of the polymorphism. Forexample, the various allelic forms of the polymorphic locus may differby a single base-pair of the DNA. Such single nucleotide polymorphisms(or SNPs) are major contributors to genetic variation, comprising some80% of all known polymorphisms, and their density in the human genome isestimated to be on average 1 per 1,000 base pairs. SNPs are mostfrequently biallelic-occurring in only two different forms (although upto four different forms of an SNP, corresponding to the four differentnucleotide bases occurring in DNA, are theoretically possible).Nevertheless, SNPs are mutationally more stable than otherpolymorphisms, making them suitable for association studies in whichlinkage disequilibrium between markers and an unknown variant is used tomap disease-causing mutations. In addition, because SNPs typically haveonly two alleles, they can be genotyped by a simple plus/minus assayrather than a length measurement, making them more amenable toautomation.

A variety of methods are available for detecting the presence of aparticular single nucleotide polymorphic allele in an individual.Advancements in this field have provided accurate, easy, and inexpensivelarge-scale SNP genotyping. Most recently, for example, several newtechniques have been described including dynamic allele-specifichybridization (DASH), microplate array diagonal gel electrophoresis(MADGE), pyrosequencing, oligonucleotide-specific ligation, the TaqMansystem as well as various DNA “chip” technologies such as the AffymetrixSNP chips. These methods require amplification of the target geneticregion, typically by PCR. Still other newly developed methods, based onthe generation of small signal molecules by invasive cleavage followedby mass spectrometry or immobilized padlock probes and rolling-circleamplification, might eventually eliminate the need for PCR. Several ofthe methods known in the art for detecting specific single nucleotidepolymorphisms are summarized below. The method of the present inventionis understood to include all available methods.

Several methods have been developed to facilitate analysis of singlenucleotide polymorphisms. In one embodiment, the single basepolymorphism can be detected by using a specializedexonuclease-resistant nucleotide, as disclosed, e.g., in Mundy, C. R.(U.S. Pat. No. 4,656,127). According to the method, a primercomplementary to the allelic sequence immediately 3′ to the polymorphicsite is permitted to hybridize to a target molecule obtained from aparticular animal or human. If the polymorphic site on the targetmolecule contains a nucleotide that is complementary to the particularexonuclease-resistant nucleotide derivative present, then thatderivative will be incorporated onto the end of the hybridized primer.Such incorporation renders the primer resistant to exonuclease, andthereby permits its detection. Since the identity of theexonuclease-resistant derivative of the sample is known, a finding thatthe primer has become resistant to exonucleases reveals that thenucleotide present in the polymorphic site of the target molecule wascomplementary to that of the nucleotide derivative used in the reaction.This method has the advantage that it does not require the determinationof large amounts of extraneous sequence data.

In another embodiment of the invention, a solution-based method is usedfor determining the identity of the nucleotide of a polymorphic site.Cohen, D. et al. (French Patent 2,650,840; PCT Appln. No. WO91/02087).As in the Mundy method of U.S. Pat. No. 4,656,127, a primer is employedthat is complementary to allelic sequences immediately 3′ to apolymorphic site. The method determines the identity of the nucleotideof that site using labeled dideoxynucleotide derivatives, which, ifcomplementary to the nucleotide of the polymorphic site will becomeincorporated onto the terminus of the primer.

An alternative method, known as Genetic Bit Analysis or GBA™ isdescribed by Goelet, P. et al. (PCT Appln. No. 92/15712). The method ofGoelet, P. et al. uses mixtures of labeled terminators and a primer thatis complementary to the sequence 3′ to a polymorphic site. The labeledterminator that is incorporated is thus determined by, and complementaryto, the nucleotide present in the polymorphic site of the targetmolecule being evaluated. In contrast to the method of Cohen et al.(French Patent 2,650,840; PCT Appln. No. WO91/02087) the method ofGoelet, P. et al. is preferably a heterogeneous phase assay, in whichthe primer or the target molecule is immobilized to a solid phase.

Recently, several primer-guided nucleotide incorporation procedures forassaying polymorphic sites in DNA have been described (Komher, J. S. etal., Nucl. Acids. Res. 17:7779–7784 (1989); Sokolov, B. P., Nucl. AcidsRes. 18:3671 (1990); Syvanen, A. -C., et al., Genomics 8:684–692 (1990);Kuppuswamy, M. N. et al., Proc. Natl. Acad. Sci. (U.S.A.) 88:1143–1147(1991); Prezant, T. R. et al., Hum. Mutat. 1: 159–164 (1992); Ugozzoli,L. et al., GATA 9:107–112 (1992); Nyren, P. et al., Anal. Biochem.208:171–175 (1993)). These methods differ from GBA™ in that they allrely on the incorporation of labeled deoxynucleotides to discriminatebetween bases at a polymorphic site. In such a format, since the signalis proportional to the number of deoxynucleotides incorporated,polymorphisms that occur in runs of the same nucleotide can result insignals that are proportional to the length of the run (Syvanen, A. -C.,et al., Amer. J. Hum. Genet. 52:46–59 (1993)).

For mutations that produce premature termination of protein translation,the protein truncation test (PTT) offers an efficient diagnosticapproach (Roest, et. al., (1993) Hum. Mol. Genet. 2:1719–21; van derLuijt, et. al., (1994) Genomics 20:1–4). For PTT, RNA is initiallyisolated from available tissue and reverse-transcribed, and the segmentof interest is amplified by PCR. The products of reverse transcriptionPCR are then used as a template for nested PCR amplification with aprimer that contains an RNA polymerase promoter and a sequence forinitiating eukaryotic translation. After amplification of the region ofinterest, the unique motifs incorporated into the primer permitsequential in vitro transcription and translation of the PCR products.Upon sodium dodecyl sulfate-polyacrylamide gel electrophoresis oftranslation products, the appearance of truncated polypeptides signalsthe presence of a mutation that causes premature termination oftranslation. In a variation of this technique, DNA (as opposed to RNA)is used as a PCR template when the target region of interest is derivedfrom a single exon.

Any cell type or tissue may be utilized to obtain nucleic acid samplesfor use in the diagnostics described herein. In a preferred embodiment,the DNA sample is obtained from a bodily fluid, e.g., blood, obtained byknown techniques (e.g. venipuncture) or saliva. Alternatively, nucleicacid tests can be performed on dry samples (e.g. hair or skin).

Diagnostic procedures may also be performed in situ directly upon tissuesections (fixed and/or frozen) of patient tissue obtained from biopsiesor resections, such that no nucleic acid purification is necessary.Nucleic acid reagents may be used as probes and/or primers for such insitu procedures (see, for example, Nuovo, G. J., 1992, PCR in situhybridization: protocols and applications, Raven Press, NY).

In addition to methods which focus primarily on the detection of onenucleic acid sequence, profiles may also be assessed in such detectionschemes. Fingerprint profiles may be generated, for example, byutilizing a differential display procedure, Northern analysis and/orRT-PCR.

A preferred detection method is allele specific hybridization usingprobes overlapping a region of at least one allele of a Wnt signalingcomponent that is indicative of glaucoma and having about 5, 10, 20, 25,or 30 nucleotides around the mutation or polymorphic region. In apreferred embodiment of the invention, several probes capable ofhybridizing specifically to other allelic variants involved in glaucomaare attached to a solid phase support, e.g., a “chip” (which can hold upto about 250,000 oligonucleotides). Oligonucleotides can be bound to asolid support by a variety of processes, including lithography. Mutationdetection analysis using these chips comprising oligonucleotides, alsotermed “DNA probe arrays” is described e.g., in Cronin et al. (1996)Human Mutation 7:244. In one embodiment, a chip comprises all theallelic variants of at least one polymorphic region of a gene. The solidphase support is then contacted with a test nucleic acid andhybridization to the specific probes is detected. Accordingly, theidentity of numerous allelic variants of one or more genes can beidentified in a simple hybridization experiment.

These techniques may also comprise the step of amplifying the nucleicacid before analysis. Amplification techniques are known to those ofskill in the art and include, but are not limited to cloning, polymerasechain reaction (PCR), polymerase chain reaction of specific alleles(ASA), ligase chain reaction (LCR), nested polymerase chain reaction,self sustained sequence replication (Guatelli, J. C. et al., 1990, Proc.Natl. Acad. Sci. USA 87:1874–1878), transcriptional amplification system(Kwoh, D. Y. et al., 1989, Proc. Natl. Acad. Sci. USA 86:1173–1177), andQ-Beta Replicase (Lizardi, P. M. et al., 1988, Bio/Technology 6:1197).

Amplification products may be assayed in a variety of ways, includingsize analysis, restriction digestion followed by size analysis,detecting specific tagged oligonucleotide primers in the reactionproducts, allele-specific oligonucleotide (ASO) hybridization, allelespecific 5′ exonuclease detection, sequencing, hybridization, and thelike.

PCR based detection means can include multiplex amplification of aplurality of markers simultaneously. For example, it is well known inthe art to select PCR primers to generate PCR products that do notoverlap in size and can be analyzed simultaneously. Alternatively, it ispossible to amplify different markers with primers that aredifferentially labeled and thus can each be differentially detected. Ofcourse, hybridization based detection means allow the differentialdetection of multiple PCR products in a sample. Other techniques areknown in the art to allow multiplex analyses of a plurality of markers.

In a merely illustrative embodiment, the method includes the steps of(i) collecting a sample of cells from a patient, (ii) isolating nucleicacid (e.g., genomic, mRNA or both) from the cells of the sample, (iii)contacting the nucleic acid sample with one or more primers whichspecifically hybridize 5′ and 3′ to at least one allele of a Wntsignaling component that is indicative of glaucoma under conditions suchthat hybridization and amplification of the allele occurs, and (iv)detecting the amplification product. These detection schemes areespecially useful for the detection of nucleic acid molecules if suchmolecules are present in very low numbers.

In a preferred embodiment of the subject assay, aberrant levels oractivities of Wnt signaling components that are indicative of glaucomaare identified by alterations in restriction enzyme cleavage patterns.For example, sample and control DNA is isolated, amplified (optionally),digested with one or more restriction endonucleases, and fragment lengthsizes are determined by gel electrophoresis.

In yet another embodiment, any of a variety of sequencing reactionsknown in the art can be used to directly sequence the allele. Exemplarysequencing reactions include those based on techniques developed byMaxim and Gilbert ((1977) Proc. Natl Acad Sci USA 74:560) or Sanger(Sanger et al (1977) Proc. Nat. Acad. Sci USA 74:5463). It is alsocontemplated that any of a variety of automated sequencing proceduresmay be utilized when performing the subject assays (see, for exampleBiotechniques (1995) 19:448), including sequencing by mass spectrometry(see, for example PCT publication WO 94/16101; Cohen et al. (1996) AdvChromatogr 36:127–162; and Griffin et al. (1993) Appl Biochem Biotechnol38:147–159). It will be evident to one of skill in the art that, forcertain embodiments, the occurrence of only one, two or three of thenucleic acid bases need be determined in the sequencing reaction. Forinstance, A-track or the like, e.g., where only one nucleic acid isdetected, can be carried out.

In a further embodiment, protection from cleavage agents (such as anuclease, hydroxylamine or osmium tetraoxide and with piperidine) can beused to detect mismatched bases in RNA/RNA or RNA/DNA or DNA/DNAheteroduplexes (Myers, et al. (1985) Science 230:1242). In general, theart technique of “mismatch cleavage” starts by providing heteroduplexesformed by hybridizing (labeled) RNA or DNA containing the wild-typeallele with the sample. The double-stranded duplexes are treated with anagent which cleaves single-stranded regions of the duplex such as whichwill exist due to base pair mismatches between the control and samplestrands. For instance, RNA/DNA duplexes can be treated with RNase andDNA/DNA hybrids treated with S1 nuclease to enzymatically digest themismatched regions. In other embodiments, either DNA/DNA or RNA/DNAduplexes can be treated with hydroxylamine or osmium tetroxide and withpiperidine in order to digest mismatched regions. After digestion of themismatched regions, the resulting material is then separated by size ondenaturing polyacrylamide gels to determine the site of mutation. See,for example, Cotton et al (1988) Proc. Natl Acad Sci USA 85:4397; andSaleeba et al (1992) Methods Enzymol. 217:286–295. In a preferredembodiment, the control DNA or RNA can be labeled for detection.

In still another embodiment, the mismatch cleavage reaction employs oneor more proteins that recognize mismatched base pairs in double-strandedDNA (so called “DNA mismatch repair” enzymes). For example, the mutYenzyme of E. coli cleaves A at G/A mismatches and the thymidine DNAglycosylase from HeLa cells cleaves T at G/T mismatches (Hsu et al.(1994) Carcinogenesis 15:1657–1662). According to an exemplaryembodiment, an appropriate probe is hybridized to a cDNA or other DNAproduct from a test cell(s). The duplex is treated with a DNA mismatchrepair enzyme, and the cleavage products, if any, can be detected fromelectrophoresis protocols or the like. See, for example, U.S. Pat. No.5,459,039.

In other embodiments, alterations in electrophoretic mobility will beused to identify aberrant levels or activities of Wnt signalingcomponents that are indicative of glaucoma. For example, single strandconformation polymorphism (SSCP) may be used to detect differences inelectrophoretic mobility between mutant and wild type nucleic acids(Orita et al. (1989) Proc Natl. Acad. Sci USA 86:2766, see also Cotton(1993) Mutat Res 285:125–144; and Hayashi (1992) Genet Anal Tech Appl9:73–79). Single-stranded DNA fragments of sample and control locusalleles are denatured and allowed to renature. The secondary structureof single-stranded nucleic acids varies according to sequence, theresulting alteration in electrophoretic mobility enables the detectionof even a single base change. The DNA fragments may be labeled ordetected with labeled probes. The sensitivity of the assay may beenhanced by using RNA (rather than DNA), in which the secondarystructure is more sensitive to a change in sequence. In a preferredembodiment, the subject method utilizes heteroduplex analysis toseparate double stranded heteroduplex molecules on the basis of changesin electrophoretic mobility (Keen et al. (1991) Trends Genet 7:5).

In yet another embodiment, the movement of alleles in polyacrylamidegels containing a gradient of denaturant is assayed using denaturinggradient gel electrophoresis (DGGE) (Myers et al. (1985) Nature313:495). When DGGE is used as the method of analysis, DNA will bemodified to insure that it does not completely denature, for example byadding a GC clamp of approximately 40 bp of high-melting GC-rich DNA byPCR. In a further embodiment, a temperature gradient is used in place ofa denaturing agent gradient to identify differences in the mobility ofcontrol and sample DNA (Rosenbaum and Reissner (1987) Biophys Chem265:12753).

Examples of other techniques for detecting alleles include, but are notlimited to, selective oligonucleotide hybridization, selectiveamplification, or selective primer extension. For example,oligonucleotide primers may be prepared in which the known mutation ornucleotide difference (e.g., in allelic variants) is placed centrallyand then hybridized to target DNA under conditions which permithybridization only if a perfect match is found (Saiki et al. (1986)Nature 324:163); Saiki et al (1989) Proc. Natl Acad. Sci USA 86:6230).Such allele specific oligonucleotide hybridization techniques may beused to test one mutation or polymorphic region per reaction whenoligonucleotides are hybridized to PCR amplified target DNA or a numberof different mutations or polymorphic regions when the oligonucleotidesare attached to the hybridizing membrane and hybridized with labeledtarget DNA.

Alternatively, allele specific amplification technology which depends onselective PCR amplification may be used in conjunction with the instantinvention. Oligonucleotides used as primers for specific amplificationmay carry the mutation or polymorphic region of interest in the centerof the molecule (so that amplification depends on differentialhybridization) (Gibbs et al (1989) Nucleic Acids Res. 17:2437–2448) orat the extreme 3′ end of one primer where, under appropriate conditions,mismatch can prevent, or reduce polymerase extension (Prossner (1993)Tibtech 11:238. In addition it may be desirable to introduce a novelrestriction site in the region of the mutation to create cleavage-baseddetection (Gasparini et al (1992) Mol. Cell Probes 6:1). It isanticipated that in certain embodiments amplification may also beperformed using Taq ligase for amplification (Barany (1991) Proc. Natl.Acad. Sci USA 88:189). In such cases, ligation will occur only if thereis a perfect match at the 3′ end of the 5′ sequence making it possibleto detect the presence of a known mutation at a specific site by lookingfor the presence or absence of amplification.

In another embodiment, identification of an allelic variant is carriedout using an oligonucleotide ligation assay (OLA), as described, e.g.,in U.S. Pat. No. 4,998,617 and in Landegren, U. et al. ((1988) Science241:1077–1080). The OLA protocol uses two oligonucleotides which aredesigned to be capable of hybridizing to abutting sequences of a singlestrand of a target. One of the oligonucleotides is linked to aseparation marker, e.g., biotinylated, and the other is detectablylabeled. If the precise complementary sequence is found in a targetmolecule, the oligonucleotides will hybridize such that their terminiabut, and create a ligation substrate. Ligation then permits the labeledoligonucleotide to be recovered using avidin, or another biotin ligand.Nickerson, D. A. et al. have described a nucleic acid detection assaythat combines attributes of PCR and OLA (Nickerson, D. A. et al. (1990)Proc. Natl. Acad. Sci. USA 87:8923–27). In this method, PCR is used toachieve the exponential amplification of target DNA, which is thendetected using OLA.

Several techniques based on this OLA method have been developed and canbe used to detect aberrant levels or activities of Wnt signalingcomponents that are indicative of glaucoma. For example, U.S. Pat. No.5,593,826 discloses an OLA using an oligonucleotide having 3′-aminogroup and a 5′-phosphorylated oligonucleotide to form a conjugate havinga phosphoramidate linkage. In another variation of OLA described in Tobeet al. ((1996) Nucleic Acids Res 24: 3728), OLA combined with PCRpermits typing of two alleles in a single microliter well. By markingeach of the allele-specific primers with a unique hapten, i.e.digoxigenin and fluorescein, each OLA reaction can be detected by usinghapten specific antibodies that are labeled with different enzymereporters, alkaline phosphatase or horseradish peroxidase. This systempermits the detection of the two alleles using a high throughput formatthat leads to the production of two different colors.

Another embodiment of the invention is directed to kits for detecting apredisposition for developing glaucoma. This kit may contain one or moreoligonucleotides, including 5′ and 3′ oligonucleotides that hybridize 5′and 3′ to at least one Wnt signaling component. PCR amplificationoligonucleotides should hybridize between 25 and 2500 base pairs apart,preferably between about 100 and about 500 bases apart, in order toproduce a PCR product of convenient size for subsequent analysis.

For use in a kit, oligonucleotides may be any of a variety of naturaland/or synthetic compositions such as synthetic oligonucleotides,restriction fragments, cDNAs, synthetic peptide nucleic acids (PNAs),and the like. The assay kit and method may also employ labeledoligonucleotides to allow ease of identification in the assays. Examplesof labels which may be employed include radio-labels, enzymes,fluorescent compounds, streptavidin, avidin, biotin, magnetic moieties,metal binding moieties, antigen or antibody moieties, and the like.

The kit may, optionally, also include DNA sampling means. DNA samplingmeans are well known to one of skill in the art and can include, but notbe limited to substrates, such as filter papers, and the like; DNApurification reagents such as Nucleon™ kits, lysis buffers, proteinasesolutions and the like; PCR reagents, such as 10× reaction buffers,thermostable polymerase, dNTPs, and the like; and allele detection meanssuch as restriction enzyme, allele specific oligonucleotides, degenerateoligonucleotide primers for nested PCR from dried blood.

4.4. Screening Assays for Glaucoma Therapeutics

The invention further provides screening methods for identifyingglaucoma therapeutics. A glaucoma therapeutic can be any type ofcompound, including a protein, a peptide, peptidomimetic, smallmolecule, and nucleic acid. A nucleic acid can be, e.g., a gene, anantisense nucleic acid, a ribozyme, or a triplex molecule. A glaucomatherapeutic of the invention can be an agonist of a Wnt signalingcomponent activity or an antagonist of FRP or a Wnt signalingantagonistic activity. Preferred agonists include Wnt signalingcomponents or genes and proteins whose expression is regulated by Wntsignaling.

The invention also provides screening methods for identifying glaucomatherapeutics which are capable of binding to an FRP protein, therebyinterfering with its blocking of Wnt signaling or therapeutics, whichare capable of binding to a Wnt signaling component, thereby agonizingthe Wnt signaling component activity.

The compounds of the invention can be identified using various assaysdepending on the type of compound and activity of the compound that isdesired. Set forth below are at least some assays that can be used foridentifying glaucoma therapeutics. It is within the skill of the art todesign additional assays for identifying glaucoma therapeutics based onthe Wnt signaling based activation of trabecular meshwork genes.

4.4.1 Cell-free Assays

Cell-free assays can be used to identify compounds which are capable ofinteracting with an FRP, Wnt signaling component or a binding partnerthereof. Such a compound can, e.g., modify the structure of an FRP, Wntsignaling component or binding partner and thereby effect its activity.Cell-free assays can also be used to identify compounds which modulatethe interaction between an FRP or Wnt signaling component and an bindingpartner. In a preferred embodiment, cell-free assays for identifyingsuch compounds consist essentially in a reaction mixture containing anFRP or Wnt signaling component and a test compound or a library of testcompounds in the presence or absence of a binding partner. A testcompound can be, e.g., a derivative of a binding partner, e.g., anbiologically inactive target peptide, or a small molecule.

Accordingly, one exemplary screening assay of the present inventionincludes the steps of contacting an FRP, Wnt signaling component orfunctional fragment thereof or a binding partner with a test compound orlibrary of test compounds and detecting the formation of complexes. Fordetection purposes, the molecule can be labeled with a specific markerand the test compound or library of test compounds labeled with adifferent marker. Interaction of a test compound with an FRP, Wntsignaling component or fragment thereof or binding partner thereof canthen be detected by determining the level of the two labels after anincubation step and a washing step. The presence of two labels after thewashing step is indicative of an interaction.

An interaction between molecules can also be identified by usingreal-time BIA (Biomolecular Interaction Analysis, Pharmacia BiosensorAB) which detects surface plasmon resonance (SPR), an opticalphenomenon. Detection depends on changes in the mass concentration ofmacromolecules at the biospecific interface, and does not require anylabeling of interactants. In one embodiment, a library of test compoundscan be immobilized on a sensor surface, e.g., which forms one wall of amicro-flow cell. A solution containing the FRP, Wnt signaling component,functional fragment thereof, or binding partner thereof is then flowncontinuously over the sensor surface. A change in the resonance angle asshown on a signal recording, indicates that an interaction has occurred.This technique is further described, e.g., in BIA technology Handbook byPharmacia.

Another exemplary screening assay of the present invention includes thesteps of (a) forming a reaction mixture including: (i) an FRP or Wntsignaling component, (ii) a binding partner thereof; and (iii) a testcompound; and (b) detecting interaction of the FRP or Wnt signalingcomponent and the binding protein. The FRP or Wnt signaling componentand binding partner can be produced recombinantly, purified from asource, e.g., plasma, or chemically synthesized, as described herein. Astatistically significant change (potentiation or inhibition) in theinteraction of the FRP or Wnt signaling component and the bindingprotein in the presence of the test compound, relative to theinteraction in the absence of the test compound, indicates a potentialagonist (mimetic or potentiator) or antagonist (inhibitor) of FRP or Wntsignaling bioactivity for the test compound. The compounds of this assaycan be contacted simultaneously. Alternatively, an FRP or Wnt signalingcomponent can first be contacted with a test compound for an appropriateamount of time, following which the binding partner is added to thereaction mixture. The efficacy of the compound can be assessed bygenerating dose response curves from data obtained using variousconcentrations of the test compound. Moreover, a control assay can alsobe performed to provide a baseline for comparison. In the control assay,isolated and purified FRP or Wnt signaling components are added to acomposition containing the FRP binding partner or Wnt signalingcomponent binding partner, and the formation of a complex is quantitatedin the absence of the test compound.

Complex formation between an FRP protein and an FRP binding partner maybe detected by a variety of techniques. Modulation of the formation ofcomplexes can be quantitated using, for example, detectably labeledproteins such as radiolabeled, fluorescently labeled, or enzymaticallylabeled FRP, Wnt signaling component or binding partners, byimmunoassay, or by chromatographic detection.

Typically, it will be desirable to immobilize FRP, a Wnt signalingcomponent or its binding partner to facilitate separation of complexesfrom uncomplexed forms of one or both of the proteins, as well as toaccommodate automation of the assay. Binding of FRP or a Wnt signalingcomponent to a binding partner, can be accomplished in any vesselsuitable for containing the reactants. Examples include microtitreplates, test tubes, and micro-centrifuge tubes. In one embodiment, afusion protein can be provided which adds a domain that allows theprotein to be bound to a matrix. For example, glutathione-S-transferasefusion proteins can be adsorbed onto glutathione sepharose beads (SigmaChemical, St. Louis, Mo.) or glutathione derivatized microtitre plates,which are then combined with the binding partner, e.g. a 35S-labeledbinding partner, and the test compound, and the mixture incubated underconditions conducive to complex formation, e.g. at physiologicalconditions for salt and pH, though slightly more stringent conditionsmay be desired. Following incubation, the beads are washed to remove anyunbound label, and the matrix immobilized and radiolabel determineddirectly (e.g. beads placed in scintilant), or in the supernatant afterthe complexes are subsequently dissociated. Alternatively, the complexescan be dissociated from the matrix, separated by SDS-PAGE, and the levelof the FRP or Wnt signaling component or binding partner found in thebead fraction quantitated from the gel using standard electrophoretictechniques such as described in the appended examples.

Other techniques for immobilizing proteins on matrices are alsoavailable for use in the subject assay. For instance, FRP, a Wntsignaling component or its cognate binding partner can be immobilizedutilizing conjugation of biotin and streptavidin. For instance,biotinylated FRP or Wnt signaling components can be prepared frombiotin-NHS (N-hydroxy-succinimide) using techniques well known in theart (e.g., biotinylation kit, Pierce Chemicals, Rockford, Ill.), andimmobilized in the wells of streptavidin-coated 96 well plates (PierceChemical). Alternatively, antibodies reactive with FRP or a Wntsignaling component can be derivatized to the wells of the plate, andFRP or Wnt signaling components trapped in the wells by antibodyconjugation. As above, preparations of an FRP or Wnt signalingcomponent, a binding protein and a test compound are incubated in theFRP or Wnt signaling component presenting wells of the plate, and theamount of complex trapped in the well can be quantitated. Exemplarymethods for detecting such complexes, in addition to those describedabove for the GST-immobilized complexes, include immunodetection ofcomplexes using antibodies reactive with the FRP or Wnt signalingcomponent binding partner, or which are reactive with FRP or a Wntsignaling component protein and compete with the binding partner; aswell as enzyme-linked assays which rely on detecting an enzymaticactivity associated with the binding partner, either intrinsic orextrinsic activity. In the instance of the latter, the enzyme can bechemically conjugated or provided as a fusion protein with the bindingpartner. To illustrate, the binding partner can be chemicallycross-linked or genetically fused with horseradish peroxidase, and theamount of polypeptide trapped in the complex can be assessed with achromogenic substrate of the enzyme, e.g. 3,3′-diaminobenzadineterahydrochloride or 4-chloro-1-napthol. Likewise, a fusion proteincomprising the polypeptide and glutathione-S-transferase can beprovided, and complex formation quantitated by detecting the GSTactivity using 1-chloro-2,4-dinitrobenzene (Habig et al (1974) J BiolChem 249:7130).

For processes which rely on immunodetection for quantitating one of theproteins trapped in the complex, antibodies against the protein can beused. Alternatively, the protein to be detected in the complex can be“epitope tagged” in the form of a fusion protein which includes, inaddition to the FRP or Wnt signaling component sequence, a secondpolypeptide for which antibodies are readily available (e.g. fromcommercial sources). For instance, the GST fusion proteins describedabove can also be used for quantification of binding using antibodiesagainst the GST moiety. Other useful epitope tags include myc-epitopes(e.g., see Ellison et al. (1991) J Biol Chem 266:21150–21157) whichincludes a 10-residue sequence from c-myc, as well as the pFLAG system(International Biotechnologies, Inc.) or the pEZZ-protein A system(Pharmacia, N.J.).

Cell-free assays can also be used to identify compounds which interactwith an FRP or Wnt signaling component and modulate their activity.Accordingly, in one embodiment, an FRP or Wnt signaling component iscontacted with a test compound and the catalytic activity of FRP or theWnt signaling component is monitored. In one embodiment, the ability ofFRP or a Wnt signaling component to bind to a target peptide isdetermined according to methods known in the art.

4.4.2. Cell Based Assays

In addition to cell-free assays, such as described above, FRP proteinsas provided by the present invention, facilitate the generation ofcell-based assays, e.g., for identifying small molecule agonists orantagonists. In one embodiment, a cell expressing an FRP protein on theouter surface of its cellular membrane is incubated in the presence of atest compound alone or a test compound and a molecule which is known tointeract with FRP and the interaction between FRP and a test compound isdetected, e.g., by using a microphysiometer (McConnell et al. (1992)Science 257:1906). An interaction between the FRP protein the testcompound is detected by the microphysiometer as a change in theacidification of the medium. In preferred embodiments, the cell basedassays of the invention utilize human cells obtained from the trabecularmeshwork ocular tissue of normal or glaucoma-affected patients.

The propagation of human trabecular cells in culture allows the study ofthe structural and functional properties of this distinct cell typeunder reproducible experimental conditions. Human trabecular cells canbe effectively grown from dissected explants of trabecular tissue, andthe cultured cells can maintain the distinctive ultrastructural featuresof uncultured trabecular cells through numerous passages in vitro. Thetrabecular cell possesses a wide range of biochemical and structuralproperties that may be important for the maintenance of the aqueousoutflowpathway. These properties include the growth of trabecular cellsas an endothelial monolayer with a nonthrombogenic cell surface, theproduction of plasminogen activator, avid phagocytosis, and the abilityto synthesize glycosaminoglycans, collagen, fibronectin, and otherconnective tissue elements. The presence of hyaluronidase and otherlysosomal enzymes emphasizes that human trabecular cells are capable ofmetabolizing hyaluronic acid and other extracellular materials.Potential mechanisms of trabecular cell damage in vitro may be examinedby evaluating, for example, the effects of extended passage, peroxideexposure, and laser treatment on cellular morphology.

Cell based assays based upon trabecular meshwork cells or other celltypes can also be used to identify compounds which modulate expressionof an FRP gene, modulate translation of an FRP mRNA, or which modulatethe stability of an FRP mRNA or protein. Accordingly, in one embodiment,a cell which is capable of producing FRP, e.g., a trabecular meshworkcell, is incubated with a test compound and the amount of FRP producedin the cell medium is measured and compared to that produced from a cellwhich has not been contacted with the test compound. The specificity ofthe compound vis a vis FRP can be confirmed by various control analysis,e.g., measuring the expression of one or more control genes.

Compounds which can be tested include small molecules, proteins, andnucleic acids. In particular, this assay can be used to determine theefficacity of FRP antisense molecules or ribozymes.

In another embodiment, the effect of a test compound on transcription ofan FRP gene is determined by transfection experiments using a reportergene operatively linked to at least a portion of the promoter of an FRPgene. A promoter region of a gene can be isolated, e.g., from a genomiclibrary according to methods known in the art. The reporter gene can beany gene encoding a protein which is readily quantifiable, e.g., theluciferase or CAT gene, well known in the art.

In a preferred embodiment, the reporter gene is a natural or syntheticgene which is transcriptionally activated in response to a Wnt signal.For example, the engrailed gene is activated in response to Wntinduction. Furthermore, increased expression of engrailed results in thetranscriptional induction of the hedgehog gene, which is therefor nowactivated in response to Wnt. Finally, synthetic reporter genes whichare activated by nuclear LEF(tcf)/beta-catenin also provide sensitivereporter genes for measuring Wnt induction.

This invention further pertains to novel agents identified by theabove-described screening assays and uses thereof for treatments asdescribed herein.

4.5. Methods of Treating Disease

A “glaucoma therapeutic,” whether an antagonist or agonist can be, asappropriate, any of the preparations described above, including isolatedpolypeptides, gene therapy constructs, antisense molecules,peptidomimetics, small molecules, non-nucleic acid, non-peptidic oragents identified in the drug assays provided herein.

The present invention provides for both prophylactic and therapeuticmethods of treating a subject having or likely to develop a disorderassociated with aberrant FRP or Wnt pathway component genes expressionor activity, e.g., glaucoma.

4.5.1. Prophylactic Methods

In one aspect, the invention provides a method for preventing in asubject, a disease or condition associated with an aberrant FRP or Wntpathway component genes expression or activity by administering to thesubject an agent which modulates FRP or Wnt pathway component genesexpression or at least one FRP or Wnt pathway component genes activity.Subjects at risk for such a disease can be identified by a diagnostic orprognostic assay, e.g., as described herein. Administration of aprophylactic agent can occur prior to the manifestation of symptomscharacteristic of the FRP or Wnt pathway component genes aberrancy, suchthat a disease or disorder is prevented or, alternatively, delayed inits progression. Depending on the type of FRP or Wnt pathway componentgenes aberrancy, for example, a FRP or Wnt pathway component genesagonist or FRP or Wnt pathway component genes antagonist agent can beused for treating the subject prophylactically. The prophylactic methodsare similar to therapeutic methods of the present invention and arefurther discussed in the following subsections.

4.5.2. Therapeutic Methods

In general, the invention provides methods for treating a disease orcondition which is caused by or contributed to by an aberrant FRP or Wntpathway component genes activity comprising administering to the subjectan effective amount of a compound which is capable of modulating an FRPor Wnt pathway component genes activity. Among the approaches which maybe used to ameliorate disease symptoms involving an aberrant FRP or Wntpathway component genes activity are, for example, antisense, ribozyme,and triple helix molecules or small organic agents as described above.Examples of suitable compounds include the antagonists, agonists orhomologues described in detail herein.

4.5.3. Effective Dose

Toxicity and therapeutic efficacy of such compounds can be determined bystandard pharmaceutical procedures in cell cultures or experimentalanimals, e.g., for determining The LD₅₀ (The Dose Lethal To 50% Of ThePopulation) And The ED₅₀ (the dose therapeutically effective in 50% ofthe population). The dose ratio between toxic and therapeutic effects isthe therapeutic index and it can be expressed as the ratio LD₅₀/ED₅₀.Compounds which exhibit large therapeutic induces are preferred. Whilecompounds that exhibit toxic side effects may be used, care should betaken to design a delivery system that targets such compounds to thesite of affected tissue in order to minimize potential damage touninfected cells and, thereby, reduce side effects.

The data obtained from the cell culture assays and animal studies can beused in formulating a range of dosage for use in humans. The dosage ofsuch compounds lies preferably within a range of circulatingconcentrations that include concentrations χ the ED₅₀ with little or notoxicity. The dosage may vary within this range depending upon thedosage form employed and the route of administration utilized. For anycompound used in the method of the invention, the therapeuticallyeffective dose can be estimated initially from cell culture assays. Adose may be formulated in animal models to achieve a circulating plasmaconcentration range that includes the IC₅₀ to include concentrations χthe IC₅₀ (i.e., the concentration of the test compound which achieves ahalf-maximal inhibition of symptoms) as determined in cell culture. Suchinformation can be used to more accurately determine useful doses inhumans. Levels in plasma may be measured, for example, by highperformance liquid chromatography.

4.5.4. Monitoring of Effects of FRP/Wnt Therapeutics During ClinicalTrials

The ability to target populations expected to show the highest clinicalbenefit, based on the FRP or Wnt pathway component genes or diseasegenetic profile, can enable: 1) the repositioning of marketed drugs withdisappointing market results; 2) the rescue of drug candidates whoseclinical development has been discontinued as a result of safety orefficacy limitations, which are patient subgroup-specific; and 3) anaccelerated and less costly development for drug candidates and moreoptimal drug labeling (e.g. since the use of FRP or Wnt pathwaycomponent genes as a marker is useful for optimizing effective dose).

The treatment of an individual with an FRP or Wnt pathway componentgenes therapeutic can be monitored by determining FRP or Wnt pathwaycomponent genes characteristics, such as FRP or Wnt pathway componentgenes protein level or activity, FRP or Wnt pathway component genes mRNAlevel, and/or FRP or Wnt pathway component genes transcriptional level.This measurements will indicate whether the treatment is effective orwhether it should be adjusted or optimized. Thus, FRP or Wnt pathwaycomponent genes can be used as a marker for the efficacy of a drugduring clinical trials.

In a preferred embodiment, the present invention provides a method formonitoring the effectiveness of treatment of a subject with an agent(e.g., an agonist, antagonist, peptidomimetic, protein, peptide, nucleicacid, small molecule, or other drug candidate identified by thescreening assays described herein) comprising the steps of (i) obtaininga preadministration sample from a subject prior to administration of theagent; (ii) detecting the level of expression of an FRP or Wnt pathwaycomponent genes protein, mRNA, or genomic DNA in the preadministrationsample; (iii) obtaining one or more post-administration samples from thesubject; (iv) detecting the level of expression or activity of the FRPor Wnt pathway component genes protein, mRNA, or genomic DNA in thepost-administration samples; (v) comparing the level of expression oractivity of the FRP or Wnt pathway component genes protein, mRNA, orgenomic DNA in the preadministration sample with the FRP or Wnt pathwaycomponent genes protein, mRNA, or genomic DNA in the post administrationsample or samples; and (vi) altering the administration of the agent tothe subject accordingly. For example, increased administration of theagent may be desirable to increase the expression or activity of FRP orWnt pathway component genes to higher levels than detected, i.e., toincrease the effectiveness of the agent. Alternatively, decreasedadministration of the agent may be desirable to decrease expression oractivity of FRP or Wnt pathway component genes to lower levels thandetected, i.e., to decrease the effectiveness of the agent.

Cells of a subject may also be obtained before and after administrationof an FRP or Wnt pathway component genes therapeutic to detect the levelof expression of genes other than FRP or Wnt pathway component genes, toverify that the FRP or Wnt pathway component genes therapeutic does notincrease or decrease the expression of genes which could be deleterious.This can be done, e.g., by using the method of transcriptionalprofiling. Thus, mRNA from cells exposed in vivo to an FRP or Wntpathway component genes therapeutic and mRNA from the same type of cellsthat were not exposed to the FRP or Wnt pathway component genestherapeutic could be reverse transcribed and hybridized to a chipcontaining DNA from numerous genes, to thereby compare the expression ofgenes in cells treated and not treated with an FRP or Wnt pathwaycomponent genes-therapeutic. If, for example an FRP or Wnt pathwaycomponent genes therapeutic turns on the expression of a proto-oncogenein an individual, use of this particular FRP or Wnt pathway componentgenes therapeutic may be undesirable.

4.5.5. Formulation and Use

Pharmaceutical compositions for use in accordance with the presentinvention may be formulated in conventional manner using one or morephysiologically acceptable carriers or excipients. Thus, the compoundsand their physiologically acceptable salts and solvates may beformulated for administration by, for example, injection, inhalation orinsufflation (either through the mouth or the nose) or topical, oral,buccal, parenteral or rectal administration.

For such therapy, the compounds of the invention can be formulated for avariety of loads of administration, including systemic and topical orlocalized administration. Techniques and formulations generally may befound in Remmington's Pharmaceutical Sciences, Meade Publishing Co.,Easton, Pa. Injection is not likely to be the preferred method ofsystemic administration; oral dosage forms are. Topical ophthalmiccompositions the compounds of the invention can be formulate with one ormore pharmceutically acceptable excipients, such as buffering agents,preservatives (including preservative adjuncts), tonicity-adjustingagents, surfactants, solubilizing agents stabilizing agents,comfort-enhancing agents, emollients, pH-adjusting agents andlubricants. Topically administrable ophthalmic compositions willgenerally be formulated at pH 4.5–8 and have an osmolarity of 26–320mOSm/kg. For systemic administration, injection is preferred, includingintramuscular, intravenous, intraperitoneal, and subcutaneous. Forinjection, the compounds of the invention can be formulated in liquidsolutions, preferably in physiologically compatible buffers such asHank's solution or Ringer's solution. In addition, the compounds may beformulated in solid form and redissolved or suspended immediately priorto use. Lyophilized forms are also included.

For oral administration, the pharmaceutical compositions may take theform of, for example, tablets or capsules prepared by conventional meanswith pharmaceutically acceptable excipients such as binding agents(e.g., pregelatinised maize starch, polyvinylpyrrolidone orhydroxypropyl methylcellulose); fillers (e.g., lactose, microcrystallinecellulose or calcium hydrogen phosphate); lubricants (e.g., magnesiumstearate, talc or silica); disintegrants (e.g., potato starch or sodiumstarch glycolate); or wetting agents (e.g., sodium lauryl sulfate). Thetablets may be coated by methods well known in the art. Liquidpreparations for oral administration may take the form of, for example,solutions, syrups or suspensions, or they may be presented as a dryproduct for constitution with water or other suitable vehicle beforeuse. Such liquid preparations may be prepared by conventional means withpharmaceutically acceptable additives such as suspending agents (e.g.,sorbitol syrup, cellulose derivatives or hydrogenated edible fats);emulsifying agents (e.g., lecithin or acacia); non-aqueous vehicles(e.g., ationd oil, oily esters, ethyl alcohol or fractionated vegetableoils); and preservatives (e.g., methyl or propyl-p-hydroxybenzoates orsorbic acid). The preparations may also contain buffer salts, flavoring,coloring and sweetening agents as appropriate.

Preparations for oral administration may be suitably formulated to givecontrolled release of the active compound. For buccal administration thecompositions may take the form of tablets or lozenges formulated inconventional manner. For administration by inhalation, the compounds foruse according to the present invention are conveniently delivered in theform of an aerosol spray presentation from pressurized packs or anebuliser, with the use of a suitable propellant, e.g.,dichlorodifluoromethane, trichlorofluoromethane,dichlorotetrafluoroethane, carbon dioxide or other suitable gas. In thecase of a pressurized aerosol the dosage unit may be determined byproviding a valve to deliver a metered amount. Capsules and cartridgesof e.g., gelatin for use in an inhaler or insufflator may be formulatedcontaining a powder mix of the compound and a suitable powder base suchas lactose or starch.

The compounds may be formulated for parenteral administration byinjection, e.g., by bolus injection or continuous infusion. Formulationsfor injection may be presented in unit dosage form, e.g., in ampoules orin multi-dose containers, with an added preservative. The compositionsmay take such forms as suspensions, solutions or emulsions in oily oraqueous vehicles, and may contain formulatory agents such as suspending,stabilizing and/or dispersing agents. Alternatively, the activeingredient may be in powder form for constitution with a suitablevehicle, e.g., sterile pyrogen-free water, before use.

The compounds may also be formulated in rectal compositions such assuppositories or retention enemas, e.g., containing conventionalsuppository bases such as cocoa butter or other glycerides.

In addition to the formulations described previously, the compounds mayalso be formulated as a depot preparation. Such long acting formulationsmay be administered topically, by implantation (for examplesubcutaneously or intramuscularly) or by intramuscular injection. Thus,for example, the compounds may be formulated with suitable polymeric orhydrophobic materials (for example as an emulsion in an acceptable oil)or ion exchange resins, or as sparingly soluble derivatives, forexample, as a sparingly soluble salt. Other suitable delivery systemsinclude microspheres which offer the possibility of local noninvasivedelivery of drugs over an extended period of time. This technologyutilizes microspheres of precapillary size which can be injected via acoronary catheter into any selected part of the e.g. heart or otherorgans without causing inflammation or ischemia. The administeredtherapeutic is slowly released from these microspheres and taken up bysurrounding tissue cells (e.g. endothelial cells).

Systemic administration can also be by transmucosal or transdermalmeans. For transmucosal or transdermal administration, penetrantsappropriate to the barrier to be permeated are used in the formulation.Such penetrants are generally known in the art, and include, forexample, for transmucosal administration bile salts and fusidic acidderivatives. in addition, detergents may be used to facilitatepermeation. Transmucosal administration may be through nasal sprays orusing suppositories. For topical administration, the oligomers of theinvention are formulated into ointments, salves, gels, or creams asgenerally known in the art. A wash solution can be used locally to treatan injury or inflammation to accelerate healing.

In clinical settings, a gene delivery system for the therapeutic FRP orWnt pathway component gene can be introduced into a patient by any of anumber of methods, each of which is familiar in the art. For instance, apharmaceutical preparation of the gene delivery system can be introducedby intraocular injection or systemically, e.g., by intravenousinjection, and specific transduction of the protein in the target cellsoccurs predominantly from specificity of transfection provided by thegene delivery vehicle, cell-type or tissue-type expression due to thetranscriptional regulatory sequences controlling expression of thereceptor gene, or a combination thereof. In other embodiments, initialdelivery of the recombinant gene is more limited with introduction intothe animal being quite localized. For example, the gene delivery vehiclecan be introduced by catheter (see U.S. Pat. No. 5,328,470) or bystereotactic injection (e.g., Chen et al. (1994) PNAS 91: 3054–3057). AnFRP or Wnt pathway component genes gene can be delivered in a genetherapy construct by electroporation using techniques described, forexample, by Dev et al. ((1994) Cancer Treat Rev 20:105–115) or bytranscleral iontophoresis.

The pharmaceutical preparation of the gene therapy construct or compoundof the invention can consist essentially of the gene delivery system inan acceptable diluent, or can comprise a slow release matrix in whichthe gene delivery vehicle or compound is imbedded. Alternatively, wherethe complete gene delivery system can be produced intact fromrecombinant cells, e.g., retroviral vectors, the pharmaceuticalpreparation can comprise one or more cells which produce the genedelivery system.

The compositions may, if desired, be presented in a pack or dispenserdevice which may contain one or more unit dosage forms containing theactive ingredient. The pack may for example comprise metal or plasticfoil, such as a blister pack. The pack or dispenser device may beaccompanied by instructions for administration.

4.6. Kits

The invention further provides kits for use in diagnostics or prognosticmethods or for treating a disease or condition associated with anaberrant FRP or Wnt pathway component genes protein. The invention alsoprovides kits for determining which FRP or Wnt pathway component genestherapeutic should be administered to a subject. The inventionencompasses kits for detecting the presence of FRP or Wnt pathwaycomponent genes mRNA or protein in a biological sample or fordetermining the presence of mutations or the identity of polymorphicregions in an FRP or Wnt pathway component genes gene. For example, thekit can comprise a labeled compound or agent capable of detecting FRP orWnt pathway component genes protein or mRNA in a biological sample;means for determining the amount of FRP or Wnt pathway component genesin the sample; and means for comparing the amount of FRP or Wnt pathwaycomponent genes in the sample with a standard. The compound or agent canbe packaged in a suitable container. The kit can further compriseinstructions for using the kit to detect FRP or Wnt pathway componentgenes mRNA or protein.

In one embodiment, the kit comprises a pharmaceutical compositioncontaining an effective amount of an FRP or Wnt pathway component genesantagonist therapeutic and instruction for use in treating or preventinghypertension. In another embodiment, the kit comprises a pharmaceuticalcomposition comprising an effective amount of an FRP or Wnt pathwaycomponent genes agonist therapeutic and instructions for use in treatingeye disorders or diseases such as glaucoma. Generally, the kit comprisesa pharmaceutical composition comprising an effective amount of an FRP orWnt pathway component genes agonist or antagonist therapeutic andinstructions for use as a glaucoma therapeutic agent. For example, thekit can comprise a pharmaceutical composition comprising an effectiveamount of an FRP or Wnt pathway component genes agonist therapeutic andinstructions for use as an analgesic.

Yet other kits can be used to determine whether a subject has or islikely to develop a disease or condition associated with an aberrant FRPor Wnt pathway component genes activity. Such a kit can comprise, e.g.,one or more nucleic acid probes capable of hybridizing specifically toat least a portion of an FRP or Wnt pathway component genes gene orallelic variant thereof, or mutated form thereof.

4.7. Additional Uses for FRP or Wnt Pathway Gene Proteins and NucleicAcids

The FRP or Wnt pathway component genes nucleic acids of the inventioncan further be used in the following assays. In one embodiment, thehuman FRP or Wnt pathway component genes nucleic acid having SEQ ID NO:1or a portion thereof, or a nucleic acid which hybridizes thereto can beused to determine the chromosomal localization of an FRP or Wnt pathwaycomponent genes gene. Comparison of the chromosomal location of the FRPor Wnt pathway component genes gene with the location of chromosomalregions which have been shown to be associated with specific diseases orconditions, e.g., by linkage analysis (coinheritance of physicallyadjacent genes), can be indicative of diseases or conditions in whichFRP or Wnt pathway component genes may play a role. A list ofchromosomal regions which have been linked to specific diseases can befound, for example, in V. McKusick, Mendelian Inheritance in Man(available on line through Johns Hopkins University Welch MedicalLibrary) and through the National Center for Biotechnology Information,National Library of Medicine, National Institutes of Health, Bethesda,Md. (Online Mendelian Inheritance in Man)). Furthermore, the FRP or Winpathway component genes gene can also be used as a chromosomal marker ingenetic linkage studies involving genes other than FRP or Wnt pathwaycomponent genes.

Chromosomal localization of a gene can be performed by several methodswell known in the art. For example, Southern blot hybridization or PCRmapping of somatic cell hybrids can be used for determining on whichchromosome or chromosome fragment a specific gene is located. Othermapping strategies that can similarly be used to localize a gene to achromosome or chromosomal region include in situ hybridization,prescreening with labeled flow-sorted chromosomes and preselection byhybridization to construct chromosome specific-cDNA libraries.

Furthermore, fluorescence in situ hybridization (FISH) of a nucleicacid, e.g., an FRP or Wnt pathway component genes nucleic acid, to ametaphase chromosomal spread is a one step method that provides aprecise chromosomal location of the nucleic acid. This technique can beused with nucleic acids as short as 500 or 600 bases; however, cloneslarger than 2,000 bp have a higher likelihood of binding to a uniquechromosomal location with sufficient signal intensity for simpledetection. Such techniques are described, e.g., in Verma et al., HumanChromosomes: a Manual of Basic Techniques, Pergamon Press, New York(1988). Using such techniques, a gene can be localized to a chromosomalregion containing from about 50 to about 500 genes.

If the FRP or Wnt pathway component genes gene is shown to be localizedin a chromosomal region which cosegregates, i.e., which is associated,with a specific disease, the differences in the cDNA or genomic sequencebetween affected and unaffected individuals are determined. The presenceof a mutation in some or all of the affected individuals but not in anynormal individuals, will be indicative that the mutation is likely to becausing or contributing to the disease.

The present invention is further illustrated by the following exampleswhich should not be construed as limiting in any way. The contents ofall cited references (including literature references, issued patents,published patent applications as cited throughout this application) arehereby expressly incorporated by reference. The practice of the presentinvention will employ, unless otherwise indicated, conventionaltechniques of cell biology, cell culture, molecular biology, transgenicbiology, microbiology, recombinant DNA, and immunology, which are withinthe skill of the art. Such techniques are explained fully in theliterature. See, for example, Molecular Cloning A Laboratory Manual,2^(nd) Ed., ed. by Sambrook, Fritsch and Maniatis (Cold Spring HarborLaboratory Press: 1989); DNA Cloning, Volumes I and II (D. N. Glovered., 1985); Oligonucleotide Synthesis (M. J. Gait ed., 1984); Mullis etal. U.S. Pat. No: 4,683,195; Nucleic Acid Hybridization(B. D. Hames & S.J. Higgins eds. 1984); Transcription And Translation (B. D. Hames & S.J. Higgins eds. 1984); Culture Of Animal Cells (R. I. Freshney, Alan R.Liss, Inc., 1987); Immobilized Cells And Enzymes (IRL Press, 1986); B.Perbal, A Practical Guide To Molecular Cloning (1984); the treatise,Methods In Enzymology (Academic Press, Inc., N.Y.); Gene TransferVectors For Mammalian Cells (J. H. Miller and M. P. Calos eds., 1987,Cold Spring Harbor Laboratory); Methods In Enzymology, Vols. 154 and 155(Wu et al. eds.), Immunochemical Methods In Cell And Molecular Biology(Mayer and Walker, eds., Academic Press, London, 1987); Handbook OfExperimental Immunology, Volumes I–IV (D. M. Weir and C. C. Blackwell,eds., 1986); Manipulating the Mouse Embryo, (Cold Spring HarborLaboratory Press, Cold Spring Harbor, N.Y., 1986).

4.8. Pharmacogenomics

Knowledge of the particular alteration or alterations, resulting indefective or deficient FRP or Wnt pathway component genes or proteins inan individual (the FRP or Wnt pathway component genes genetic profile),alone or in conjunction with information on other genetic defectscontributing to the same disease (the genetic profile of the particulardisease) allows a customization of the therapy for a particular diseaseto the individual's genetic profile, the goal of “pharmacogenomics”. Forexample, subjects having a specific allele of an FRP or Wnt pathwaycomponent genes gene may or may not exhibit symptoms of a particulardisease or be predisposed of developing symptoms of a particulardisease. Further, if those subjects are symptomatic, they may or may notrespond to a certain drug, e.g., a specific FRP or Wnt pathway componentgenes therapeutic, but may respond to another. Thus, generation of anFRP or Wnt pathway component genes genetic profile, (e.g.,categorization of alterations in FRP or Wnt pathway component genes genewhich are associated with the development of a particular disease), froma population of subjects, who are symptomatic for a disease or conditionthat is caused by or contributed to by a defective and/or deficient FRPor Wnt pathway component genes gene and/or protein (an FRP or Wntpathway component genes genetic population profile) and comparison of anindividual's FRP or Wnt pathway component genes profile to thepopulation profile, permits the selection or design of drugs that areexpected to be safe and efficacious for a particular patient or patientpopulation (i.e., a group of patients having the same geneticalteration).

For example, an FRP or Wnt pathway component genes population profilecan be performed, by determining the FRP or Wnt pathway component genesprofile, e.g., the identity of FRP or Wnt pathway component genes genes,in a patient population having a disease, which is caused by orcontributed to by a defective or deficient FRP or Wnt pathway componentgenes gene. Optionally, the FRP or Wnt pathway component genespopulation profile can further include information relating to theresponse of the population to an FRP or Wnt pathway component genestherapeutic, using any of a variety of methods, including,monitoring: 1) the severity of symptoms associated with the FRP or Wntpathway component genes related disease, 2) FRP or Wnt pathway componentgenes gene expression level, 3) FRP or Wnt pathway component genes mRNAlevel, and/or 4) FRP or Wnt pathway component genes protein level. and(iii) dividing or categorizing the population based on the particulargenetic alteration or alterations present in its FRP or Wnt pathwaycomponent genes gene or an FRP or Wnt pathway component genes pathwaygene. The FRP or Wnt pathway component genes genetic population profilecan also, optionally, indicate those particular alterations in which thepatient was either responsive or non-responsive to a particulartherapeutic. This information or population profile, is then useful forpredicting which individuals should respond to particular drugs, basedon their individual FRP or Wnt pathway component genes profile.

In a preferred embodiment, the FRP or Wnt pathway component genesprofile is a transcriptional or expression level profile and step (i) iscomprised of determining the expression level of FRP or Wnt pathwaycomponent genes proteins, alone or in conjunction with the expressionlevel of other genes, known to contribute to the same disease. The FRPor Wnt pathway component genes profile can be measured in many patientsat various stages of the disease.

Pharmacogenomic studies can also be performed using transgenic animals.For example, one can produce transgenic mice, e.g., as described herein,which contain a specific allelic variant of an FRP or Wnt pathwaycomponent genes gene. These mice can be created, e.g., by replacingtheir wild-type FRP or Wnt pathway component genes gene with an alleleof the human FRP or Wnt pathway component genes gene. The response ofthese mice to specific FRP or Wnt pathway component genes therapeuticscan then be determined.

4.9. Transgenic Animals

The invention further provides for transgenic animals, which can be usedfor a variety of purposes, e.g., to identify glaucoma therapeutics.Transgenic animals of the invention include non-human animals containingmutations in nucleic acid sequences that result in inappropriately highlevels of FRP (e.g. mutations in genes encoding transcription factorsthat regulate expression of FRP). Alternatively, transgenic animals cancontain mutations in Wnt signaling components, including: frizzled (Fz);disheveled (Dsh); glycogen synthase kinase 3 (GSK3), protein kinase C(APC), β-catenins and high mobility group (HMG) proteins (e.g. LEF/TCF(Lymphoid Enhancer Factor/T-Cell Factor)). Such animals can be used,e.g., to determine the effect on phenotype of interfering with theexpression in trabecular meshwork cells of genes whose expression isregulated by Wnt signaling.

The transgenic animals can also be animals containing a transgene, suchas reporter gene, under the control of an FRP promoter or fragmentthereof. These animals are useful, e.g., for identifying drugs thatmodulate production of FRP, such as by modulating FRP gene expression.An FRP gene promoter can be isolated, e.g., by screening of a genomiclibrary with an FRP cDNA fragment and characterized according to methodsknown in the art.

Yet other non-human animals within the scope of the invention includegenes encoding Wnt signaling components in which the expression of theendogenous gene has been mutated or “knocked out”. These animals couldbe useful to determine whether the absence of a Wnt signaling componentwill result in a specific phenotype. Methods for obtaining transgenicand knockout non-human animals are well known in the art and arediscussed herein.

In a preferred embodiment, the invention provides transgenic non-humananimals for use in the development of glaucoma diagnostic andtherapeutic methods. For example, in certain preferred embodiments, thetransgenic animals of the invention comprise an heterologous FRPexpressing gene which results in an increase in the level of FRP geneexpression in an ocular tissue. In preferred embodiments, the oculartissue is the trabecular meshwork and the FRP-overexpressing cells aretrabecular meshwork cells. In still more preferred embodiments thetransgenic non-human animals expressing increased levels of FRP in thetrabecular meshwork cells have at least one symptom characteristic ofglaucoma, such as an increased intraocular pressure (IOP). In certainpreferred embodiments, the transgenic animals of the invention providean in vivo assay system for the screening of glaucoma therapeuticscompounds and the development of glaucoma diagnostics.

4.9.1 Animal-based Systems

Another aspect of the present invention concerns transgenic animalswhich are comprised of cells (of that animal) which contain a transgeneof the present invention and which preferably (though optionally)express an exogenous FRP protein in one or more cells in the animal. AFRP transgene can encode the wild-type form of the protein, or canencode homologs thereof, including both agonists and antagonists, aswell as antisense constructs. In preferred embodiments, the expressionof the transgene is restricted to specific subsets of cells, tissues ordevelopmental stages utilizing, for example, cis-acting sequences thatcontrol expression in the desired pattern. In the present invention,such mosaic expression of a FRP protein can be essential for many formsof lineage analysis and can additionally provide a means to assess theeffects of, for example, lack of FRP expression which might grosslyalter development in small patches of tissue within an otherwise normalembryo. Toward this and, tissue-specific regulatory sequences andconditional regulatory sequences can be used to control expression ofthe transgene in certain spatial patterns. Moreover, temporal patternsof expression can be provided by, for example, conditional recombinationsystems or prokaryotic transcriptional regulatory sequences.

Genetic techniques, which allow for the expression of transgenes can beregulated via site-specific genetic manipulation in vivo, are known tothose skilled in the art. For instance, genetic systems are availablewhich allow for the regulated expression of a recombinase that catalyzesthe genetic recombination of a target sequence. As used herein, thephrase “target sequence” refers to a nucleotide sequence that isgenetically recombined by a recombinase. The target sequence is flankedby recombinase recognition sequences and is generally either excised orinverted in cells expressing recombinase activity. Recombinase catalyzedrecombination events can be designed such that recombination of thetarget sequence results in either the activation or repression ofexpression of one of the subject FRP proteins. For example, excision ofa target sequence which interferes with the expression of a recombinantFRP gene, such as one which encodes an antagonistic homolog or anantisense transcript, can be designed to activate expression of thatgene. This interference with expression of the protein can result from avariety of mechanisms, such as spatial separation of the FRP gene fromthe promoter element or an internal stop codon. Moreover, the transgenecan be made wherein the coding sequence of the gene is flanked byrecombinase recognition sequences and is initially transfected intocells in a 3′ to 5′ orientation with respect to the promoter element. Insuch an instance, inversion of the target sequence will reorient thesubject gene by placing the 5′ end of the coding sequence in anorientation with respect to the promoter element which allow forpromoter driven transcriptional activation.

The transgenic animals of the present invention all include within aplurality of their cells a transgene of the present invention, whichtransgene alters the phenotype of the “host cell” with respect toregulation of cell function, cell growth, death and/or differentiation.Since it is possible to produce transgenic organisms of the inventionutilizing one or more of the transgene constructs described herein, ageneral description will be given of the production of transgenicorganisms by referring generally to exogenous genetic material. Thisgeneral description can be adapted by those skilled in the art in orderto incorporate specific transgene sequences into organisms utilizing themethods and materials described below.

In an illustrative embodiment, either the cre/loxP recombinase system ofbacteriophage P1 (Lakso et al. (1992) PNAS 89:6232–6236; Orban et al.(1992) PNAS 89:6861–6865) or the FLP recombinase system of Saccharomycescerevisiae (O'Gorman et al. (1991) Science 251:1351–1355; PCTpublication WO 92/15694) can be used to generate in vivo site-specificgenetic recombination systems. Cre recombinase catalyzes thesite-specific recombination of an intervening target sequence locatedbetween loxP sequences. loxP sequences are 34 base pair nucleotiderepeat sequences to which the Cre recombinase binds and are required forCre recombinase mediated genetic recombination. The orientation of loxPsequences determines whether the intervening target sequence is excisedor inverted when Cre recombinase is present (Abremski et al. (1984) J.Biol. Chem. 259:1509–1514); catalyzing the excision of the targetsequence when the loxP sequences are oriented as direct repeats andcatalyzes inversion of the target sequence when loxP sequences areoriented as inverted repeats.

Accordingly, genetic recombination of the target sequence is dependenton expression of the Cre recombinase. Expression of the recombinase canbe regulated by promoter elements which are subject to regulatorycontrol, e.g., tissue-specific, developmental stage-specific, inducibleor repressible by externally added agents. This regulated control willresult in genetic recombination of the target sequence only in cellswhere recombinase expression is mediated by the promoter element. Thus,the activation expression of a recombinant FRP protein can be regulatedvia control of recombinase expression.

Use of the cre/loxP recombinase system to regulate expression of arecombinant FRP protein requires the construction of a transgenic animalcontaining transgenes encoding both the Cre recombinase and the subjectprotein. Animals containing both the Cre recombinase and a recombinantFRP gene can be provided through the construction of “double” transgenicanimals. A convenient method for providing such animals is to mate twotransgenic animals each containing a transgene, e.g., a FRP gene andrecombinase gene.

One advantage derived from initially constructing transgenic animalscontaining a FRP transgene in a recombinase-mediated expressible formatderives from the likelihood that the subject protein, whether agonisticor antagonistic, can be deleterious upon expression in the transgenicanimal. In such an instance, a founder population, in which the subjecttransgene is silent in all tissues, can be propagated and maintained.Individuals of this founder population can be crossed with animalsexpressing the recombinase in, for example, one or more tissues and/or adesired temporal pattern. Thus, the creation of a founder population inwhich, for example, an antagonistic FRP transgene is silent will allowthe study of progeny from that founder in which disruption of FRPmediated induction in a particular tissue or at certain developmentalstages would result in, for example, a lethal phenotype.

Similar conditional transgenes can be provided using prokaryoticpromoter sequences which require prokaryotic proteins to be simultaneousexpressed in order to facilitate expression of the FRP transgene.Exemplary promoters and the corresponding trans-activating prokaryoticproteins are given in U.S. Pat. No. 4,833,080.

Moreover, expression of the conditional transgenes can be induced bygene therapy-like methods wherein a gene encoding the trans-activatingprotein, e.g. a recombinase or a prokaryotic protein, is delivered tothe tissue and caused to be expressed, such as in a cell-type specificmanner. By this method, a FRP A transgene could remain silent intoadulthood until “turned on” by the introduction of the trans-activator.

In an exemplary embodiment, the “transgenic non-human animals” of theinvention are produced by introducing transgenes into the germline ofthe non-human animal. Embryonal target cells at various developmentalstages can be used to introduce transgenes. Different methods are useddepending on the stage of development of the embryonal target cell. Thespecific line(s) of any animal used to practice this invention areselected for general good health, good embryo yields, good pronuclearvisibility in the embryo, and good reproductive fitness. In addition,the haplotype is a significant factor. For example, when transgenic miceare to be produced, strains such as C57BL/6 or FVB lines are often used(Jackson Laboratory, Bar Harbor, Me.). Preferred strains are those withH-2b, H-2d or H-2q haplotypes such as C57BL/6 or DBA/1. The line(s) usedto practice this invention may themselves be transgenics, and/or may beknockouts (i.e., obtained from animals which have one or more genespartially or completely suppressed).

In one embodiment, the transgene construct is introduced into a singlestage embryo. The zygote is the best target for micro-injection. In themouse, the male pronucleus reaches the size of approximately 20micrometers in diameter which allows reproducible injection of 1–2 pl ofDNA solution. The use of zygotes as a target for gene transfer has amajor advantage in that in most cases the injected DNA will beincorporated into the host gene before the first cleavage (Brinster etal. (1985) PNAS 82:4438–4442). As a consequence, all cells of thetransgenic animal will carry the incorporated transgene. This will ingeneral also be reflected in the efficient transmission of the transgeneto offspring of the founder since 50% of the germ cells will harbor thetransgene.

Normally, fertilized embryos are incubated in suitable media until thepronuclei appear. At about this time, the nucleotide sequence comprisingthe transgene is introduced into the female or male pronucleus asdescribed below. In some species such as mice, the male pronucleus ispreferred. It is most preferred that the exogenous genetic material beadded to the male DNA complement of the zygote prior to its beingprocessed by the ovum nucleus or the zygote female pronucleus. It isthought that the ovum nucleus or female pronucleus release moleculeswhich affect the male DNA complement, perhaps by replacing theprotamines of the male DNA with histones, thereby facilitating thecombination of the female and male DNA complements to form the diploidzygote.

Thus, it is preferred that the exogenous genetic material be added tothe male complement of DNA or any other complement of DNA prior to itsbeing affected by the female pronucleus. For example, the exogenousgenetic material is added to the early male pronucleus, as soon aspossible after the formation of the male pronucleus, which is when themale and female pronuclei are well separated and both are located closeto the cell membrane. Alternatively, the exogenous genetic materialcould be added to the nucleus of the sperm after it has been induced toundergo decondensation. Sperm containing the exogenous genetic materialcan then be added to the ovum or the decondensed sperm could be added tothe ovum with the transgene constructs being added as soon as possiblethereafter.

Introduction of the transgene nucleotide sequence into the embryo may beaccomplished by any means known in the art such as, for example,microinjection, electroporation, or lipofection. Following introductionof the transgene nucleotide sequence into the embryo, the embryo may beincubated in vitro for varying amounts of time, or reimplanted into thesurrogate host, or both. In vitro incubation to maturity is within thescope of this invention. One common method in to incubate the embryos invitro for about 1–7 days, depending on the species, and then reimplantthem into the surrogate host.

For the purposes of this invention a zygote is essentially the formationof a diploid cell which is capable of developing into a completeorganism. Generally, the zygote will be comprised of an egg containing anucleus formed, either naturally or artificially, by the fusion of twohaploid nuclei from a gamete or gametes. Thus, the gamete nuclei must beones which are naturally compatible, i.e., ones which result in a viablezygote capable of undergoing differentiation and developing into afunctioning organism. Generally, a euploid zygote is preferred. If ananeuploid zygote is obtained, then the number of chromosomes should notvary by more than one with respect to the euploid number of the organismfrom which either gamete originated.

In addition to similar biological considerations, physical ones alsogovern the amount (e.g., volume) of exogenous genetic material which canbe added to the nucleus of the zygote or to the genetic material whichforms a part of the zygote nucleus. If no genetic material is removed,then the amount of exogenous genetic material which can be added islimited by the amount which will be absorbed without being physicallydisruptive. Generally, the volume of exogenous genetic material insertedwill not exceed about 10 picoliters. The physical effects of additionmust not be so great as to physically destroy the viability of thezygote. The biological limit of the number and variety of DNA sequenceswill vary depending upon the particular zygote and functions of theexogenous genetic material and will be readily apparent to one skilledin the art, because the genetic material, including the exogenousgenetic material, of the resulting zygote must be biologically capableof initiating and maintaining the differentiation and development of thezygote into a functional organism.

The number of copies of the transgene constructs which are added to thezygote is dependent upon the total amount of exogenous genetic materialadded and will be the amount which enables the genetic transformation tooccur. Theoretically only one copy is required; however, generally,numerous copies are utilized, for example, 1,000–20,000 copies of thetransgene construct, in order to insure that one copy is functional. Asregards the present invention, there will often be an advantage tohaving more than one functioning copy of each of the inserted exogenousDNA sequences to enhance the phenotypic expression of the exogenous DNAsequences.

Any technique which allows for the addition of the exogenous geneticmaterial into nucleic genetic material can be utilized so long as it isnot destructive to the cell, nuclear membrane or other existing cellularor genetic structures. The exogenous genetic material is preferentiallyinserted into the nucleic genetic material by microinjection.Microinjection of cells and cellular structures is known and is used inthe art.

Reimplantation is accomplished using standard methods. Usually, thesurrogate host is anesthetized, and the embryos are inserted into theoviduct. The number of embryos implanted into a particular host willvary by species, but will usually be comparable to the number of offspring the species naturally produces.

Transgenic offspring of the surrogate host may be screened for thepresence and/or expression of the transgene by any suitable method.Screening is often accomplished by PCR, Southern blot or Northern blotanalysis, using a probe that is complementary to at least a portion ofthe transgene. Western blot analysis using an antibody against theprotein encoded by the transgene may be employed as an alternative oradditional method for screening for the presence of the transgeneproduct. Typically, DNA is prepared from tail tissue and analyzed bySouthern analysis or PCR for the transgene. Alternatively, the tissuesor cells believed to express the transgene at the highest levels aretested for the presence and expression of the transgene using Southernanalysis or PCR, although any tissues or cell types may be used for thisanalysis.

Alternative or additional methods for evaluating the presence of thetransgene include, without limitation, suitable biochemical assays suchas enzyme and/or immunological assays, histological stains forparticular marker or enzyme activities, flow cytometric analysis, andthe like. Analysis of the blood may also be useful to detect thepresence of the transgene product in the blood, as well as to evaluatethe effect of the transgene on the levels of various types of bloodcells and other blood constituents.

Progeny of the transgenic animals may be obtained by mating thetransgenic animal with a suitable partner, or by in vitro fertilizationof eggs and/or sperm obtained from the transgenic animal. Where matingwith a partner is to be performed, the partner may or may not betransgenic and/or a knockout; where it is transgenic, it may contain thesame or a different transgene, or both. Alternatively, the partner maybe a parental line. Where in vitro fertilization is used, the fertilizedembryo may be implanted into a surrogate host or incubated in vitro, orboth. Using either method, the progeny may be evaluated for the presenceof the transgene using methods described above, or other appropriatemethods.

The transgenic animals produced in accordance with the present inventionwill include exogenous genetic material. As set out above, the exogenousgenetic material will, in certain embodiments, be a DNA sequence whichresults in the production of a FRP protein (either agonistic orantagonistic), and antisense transcript, or a FRP mutant. Further, insuch embodiments the sequence may be attached to a transcriptionalcontrol element, e.g., a promoter, which preferably allows theexpression of the transgene product in a specific type of cell.

Retroviral infection can also be used to introduce transgene into anon-human animal. The developing non-human embryo can be cultured invitro to the blastocyst stage. During this time, the blastomeres can betargets for retroviral infection (Jaenich, R. (1976) PNAS 73:1260–1264).Efficient infection of the blastomeres is obtained by enzymatictreatment to remove the zona pellucida (Manipulating the Mouse Embryo,Hogan eds. (Cold Spring Harbor Laboratory Press, Cold Spring Harbor,1986). The viral vector system used to introduce the transgene istypically a replication-defective retrovirus carrying the transgene(Jahner et al. (1985) PNAS 82:6927–6931; Van der Putten et al. (1985)PNAS 82:6148–6152). Transfection is easily and efficiently obtained byculturing the blastomeres on a monolayer of virus-producing cells (Vander Putten, supra; Stewart et al. (1987) EMBO J. 6:383–388).Alternatively, infection can be performed at a later stage. Virus orvirus-producing cells can be injected into the blastocoele (Jahner etal. (1982) Nature 298:623–628). Most of the founders will be mosaic forthe transgene since incorporation occurs only in a subset of the cellswhich formed the transgenic non-human animal. Further, the founder maycontain various retroviral insertions of the transgene at differentpositions in the genome which generally will segregate in the offspring.In addition, it is also possible to introduce transgenes into the germline by intrauterine retroviral infection of the midgestation embryo(Jahner et al. (1982) supra).

A third type of target cell for transgene introduction is the embryonalstem cell (ES). ES cells are obtained from pre-implantation embryoscultured in vitro and fused with embryos (Evans et al. (1981) Nature292:154–156; Bradley et al. (1984) Nature 309:255–258; Gossler et al.(1986) PNAS 83: 9065–9069; and Robertson et al. (1986) Nature322:445–448). Transgenes can be efficiently introduced into the ES cellsby DNA transfection or by retrovirus-mediated transduction. Suchtransformed ES cells can thereafter be combined with blastocysts from anon-human animal. The ES cells thereafter colonize the embryo andcontribute to the germ line of the resulting chimeric animal. For reviewsee Jaenisch, R. (1988) Science 240:1468–1474.

In one embodiment, gene targeting, which is a method of using homologousrecombination to modify an animal's genome, can be used to introducechanges into cultured embryonic stem cells. By targeting a FRP gene ofinterest in ES cells, these changes can be introduced into the germlinesof animals to generate chimeras. The gene targeting procedure isaccomplished by introducing into tissue culture cells a DNA targetingconstruct that includes a segment homologous to a target FRP locus, andwhich also includes an intended sequence modification to the FRP genomicsequence (e.g., insertion, deletion, point mutation). The treated cellsare then screened for accurate targeting to identify and isolate thosewhich have been properly targeted.

Gene targeting in embryonic stem cells is in fact a scheme contemplatedby the present invention as a means for disrupting a FRP gene functionthrough the use of a targeting transgene construct designed to undergohomologous recombination with one or more FRP genomic sequences. Thetargeting construct can be arranged so that, upon recombination with anelement of a FRP gene, a positive selection marker is inserted into (orreplaces) coding sequences of the gene. The inserted sequencefunctionally disrupts the FRP gene, while also providing a positiveselection trait. Exemplary FRP targeting constructs are described inmore detail below.

Generally, the embryonic stem cells (ES cells ) used to produce theknockout animals will be of the same species as the knockout animal tobe generated. Thus for example, mouse embryonic stem cells will usuallybe used for generation of knockout mice.

Embryonic stem cells are generated and maintained using methods wellknown to the skilled artisan such as those described by Doetschman etal. (1985) J. Embryol. Exp. Morphol. 87:27–45). Any line of ES cells canbe used, however, the line chosen is typically selected for the abilityof the cells to integrate into and become part of the germ line of adeveloping embryo so as to create germ line transmission of the knockoutconstruct. Thus, any ES cell line that is believed to have thiscapability is suitable for use herein. One mouse strain that istypically used for production of ES cells, is the 129J strain. AnotherES cell line is murine cell line D3 (American Type Culture Collection,catalog no. CKL 1934) Still another preferred ES cell line is the WW6cell line (Ioffe et al. (1995) PNAS 92:7357–7361). The cells arecultured and prepared for knockout construct insertion using methodswell known to the skilled artisan, such as those set forth by Robertsonin: Teratocarcinomas and Embryonic Stem Cells: A Practical Approach, E.J. Robertson, ed. IRL Press, Washington, D.C. [1987]); by Bradley et al.(1986) Current Topics in Devel. Biol. 20:357–371); and by Hogan et al.(Manipulating the Mouse Embryo: A Laboratory Manual, Cold Spring HarborLaboratory Press, Cold Spring Harbor, N.Y. [1986]).

Insertion of the knockout construct into the ES cells can beaccomplished using a variety of methods well known in the art includingfor example, electroporation, microinjection, and calcium phosphatetreatment. A preferred method of insertion is electroporation.

Each knockout construct to be inserted into the cell must first be inthe linear form. Therefore, if the knockout construct has been insertedinto a vector (described infra), linearization is accomplished bydigesting the DNA with a suitable restriction endonuclease selected tocut only within the vector sequence and not within the knockoutconstruct sequence.

For insertion, the knockout construct is added to the ES cells underappropriate conditions for the insertion method chosen, as is known tothe skilled artisan. Where more than one construct is to be introducedinto the ES cell, each knockout construct can be introducedsimultaneously or one at a time.

If the ES cells are to be electroporated, the ES cells and knockoutconstruct DNA are exposed to an electric pulse using an electroporationmachine and following the manufacturer's guidelines for use. Afterelectroporation, the ES cells are typically allowed to recover undersuitable incubation conditions. The cells are then screened for thepresence of the knockout construct.

Screening can be accomplished using a variety of methods. Where themarker gene is an antibiotic resistance gene, for example, the ES cellsmay be cultured in the presence of an otherwise lethal concentration ofantibiotic. Those ES cells that survive have presumably integrated theknockout construct. If the marker gene is other than an antibioticresistance gene, a Southern blot of the ES cell genomic DNA can beprobed with a sequence of DNA designed to hybridize only to the markersequence Alternatively, PCR can be used. Finally, if the marker gene isa gene that encodes an enzyme whose activity can be detected (e.g.,b-galactosidase), the enzyme substrate can be added to the cells undersuitable conditions, and the enzymatic activity can be analyzed. Oneskilled in the art will be familiar with other useful markers and themeans for detecting their presence in a given cell. All such markers arecontemplated as being included within the scope of the teaching of thisinvention.

The knockout construct may integrate into several locations in the EScell genome, and may integrate into a different location in each EScell's genome due to the occurrence of random insertion events. Thedesired location of insertion is in a complementary position to the DNAsequence to be knocked out, e.g., the FRP coding sequence,transcriptional regulatory sequence, etc. Typically, less than about1–5% of the ES cells that take up the knockout construct will actuallyintegrate the knockout construct in the desired location. To identifythose ES cells with proper integration of the knockout construct, totalDNA can be extracted from the ES cells using standard methods. The DNAcan then be probed on a Southern blot with a probe or probes designed tohybridize in a specific pattern to genomic DNA digested with particularrestriction enzyme(s). Alternatively, or additionally, the genomic DNAcan be amplified by PCR with probes specifically designed to amplify DNAfragments of a particular size and sequence (i.e., only those cellscontaining the knockout construct in the proper position will generateDNA fragments of the proper size).

After suitable ES cells containing the knockout construct in the properlocation have been identified, the cells can be inserted into an embryo.Insertion may be accomplished in a variety of ways known to the skilledartisan, however a preferred method is by microinjection. Formicroinjection, about 10–30 cells are collected into a micropipet andinjected into embryos that are at the proper stage of development topermit integration of the foreign ES cell containing the knockoutconstruct into the developing embryo. For instance, as the appendedExamples describe, the transformed ES cells can be microinjected intoblastocytes.

The suitable stage of development for the embryo used for insertion ofES cells is very species dependent, however for mice it is about 3.5days. The embryos are obtained by perfusing the uterus of pregnantfemales. Suitable methods for accomplishing this are known to theskilled artisan, and are set forth by, e.g., Bradley et al. (supra).

While any embryo of the right stage of development is suitable for use,preferred embryos are male. In mice, the preferred embryos also havegenes coding for a coat color that is different from the coat colorencoded by the ES cell genes. In this way, the offspring can be screenedeasily for the presence of the knockout construct by looking for mosaiccoat color (indicating that the ES cell was incorporated into thedeveloping embryo). Thus, for example, if the ES cell line carries thegenes for white fur, the embryo selected will carry genes for black orbrown fur.

After the ES cell has been introduced into the embryo, the embryo may beimplanted into the uterus of a pseudopregnant foster mother forgestation. While any foster mother may be used, the foster mother istypically selected for her ability to breed and reproduce well, and forher ability to care for the young. Such foster mothers are typicallyprepared by mating with vasectomized males of the same species. Thestage of the pseudopregnant foster mother is important for successfulimplantation, and it is species dependent. For mice, this stage is about2–3 days pseudopregnant.

Offspring that are born to the foster mother may be screened initiallyfor mosaic coat color where the coat color selection strategy (asdescribed above, and in the appended examples) has been employed. Inaddition, or as an alternative, DNA from tail tissue of the offspringmay be screened for the presence of the knockout construct usingSouthern blots and/or PCR as described above. Offspring that appear tobe mosaics may then be crossed to each other, if they are believed tocarry the knockout construct in their germ line, in order to generatehomozygous knockout animals. Homozygotes may be identified by Southernblotting of equivalent amounts of genomic DNA from mice that are theproduct of this cross, as well as mice that are known heterozygotes andwild type mice.

Other means of identifying and characterizing the knockout offspring areavailable. For example, Northern blots can be used to probe the mRNA forthe presence or absence of transcripts encoding either the gene knockedout, the marker gene, or both. In addition, Western blots can be used toassess the level of expression of the FRP gene knocked out in varioustissues of the offspring by probing the Western blot with an antibodyagainst the particular FRP protein, or an antibody against the markergene product, where this gene is expressed. Finally, in situ analysis(such as fixing the cells and labeling with antibody) and/or FACS(fluorescence activated cell sorting) analysis of various cells from theoffspring can be conducted using suitable antibodies to look for thepresence or absence of the knockout construct gene product.

Yet other methods of making knock-out or disruption transgenic animalsare also generally known. See, for example, Manipulating the MouseEmbryo, (Cold Spring Harbor Laboratory Press, Cold Spring Harbor, N.Y.,1986). Recombinase dependent knockouts can also be generated, e.g. byhomologous recombination to insert target sequences, such that tissuespecific and/or temporal control of inactivation of a FRP-gene can becontrolled by recombinase sequences (described infra).

Animals containing more than one knockout construct and/or more than onetransgene expression construct are prepared in any of several ways. Thepreferred manner of preparation is to generate a series of mammals, eachcontaining one of the desired transgenic phenotypes. Such animals arebred together through a series of crosses, backcrosses and selections,to ultimately generate a single animal containing all desired knockoutconstructs and/or expression constructs, where the animal is otherwisecongenic (genetically identical) to the wild type except for thepresence of the knockout construct(s) and/or transgene(s).

The present invention is further illustrated by the following exampleswhich should not be construed as limiting in any way. The contents ofall cited references (including literature references, issued patents,published patent applications as cited throughout this application arehereby expressly incorporated by reference. The practice of the presentinvention will employ, unless otherwise indicated, conventionaltechniques of cell biology, cell culture, molecular biology, transgenicbiology, microbiology, recombinant DNA, and immunology, which are withinthe skill of the art. Such techniques are explained fully in theliterature. See, for example, Molecular Cloning A Laboratory Manual, 2ndEd., ed. by Sambrook, Fritsch and Maniatis (Cold Spring HarborLaboratory Press: 1989); DNA Cloning, Volumes I and II (D. N. Glovered., 1985); Oligonucleotide Synthesis (M. J. Gait ed., 1984); Mullis etal. U.S. Pat. No: 4,683,195; Nucleic Acid Hybridization (B. D. Hames &S. J. Higgins eds. 1984); Transcription And Translation (B. D. Hames &S. J. Higgins eds. 1984); Culture Of Animal Cells (R. I. Freshney, AlanR. Liss, Inc., 1987); Immobilized Cells And Enzymes (IRL Press, 1986);B. Perbal, A Practical Guide To Molecular Cloning (1984); the treatise,Methods In Enzymology (Academic Press, Inc., N.Y.); Gene TransferVectors For Mammalian Cells (J. H. Miller and M. P. Calos eds., 1987,Cold Spring Harbor Laboratory); Methods In Enzymology, Vols. 154 and 155(Wu et al. eds.), Immunochemical Methods In Cell And Molecular Biology(Mayer and Walker, eds., Academic Press, London, 1987); Handbook OfExperimental Immunology, Volumes I–IV (D. M. Weir and C. C. Blackwell,eds., 1986); Manipulating the Mouse Embryo, (Cold Spring HarborLaboratory Press, Cold Spring Harbor, N.Y., 1986).

The present invention is further illustrated by the following exampleswhich should not be construed as limiting in any way. The contents ofall cited references (including literature references, issued patents,published patent applications, and co-pending patent applications) citedthroughout this application are hereby expressly incorporated byreference.

5.1 Association of Frizzle Related Protein 1 (FRP-1) and Glaucoma

Materials and Methods

Frizzled Related Protein cDNA Sequence Identified by RNA DifferentialDisplay

     AACAGCCTGCCTGTCCCCCCGCACTTTTTACATATATTTGTTTCATTTCTGCAGATGGAAAGTTGACATGGGTGGGGTGTCCCCATCCAGCGAGAGAGTTTCAAAAGCAAAACATCTCTGCAGTTTTTCCCAAGTACCCTGAGATACTTCCCAAAGCCCTTATGTTTAATCAGCGATGTATATAAGCCAGTTCACTTAGACAACTTTACCCTTCTTGTCCAATGTACAGGAAGTAGTTCT (SEQ ID NO: 3).

5.2. Expression of Recombinant FRP or Wnt Pathway Genes in COS Cells

This example describes a method for producing recombinant full lengthhuman FRP or Wnt pathway component genes in a mammalian expressionsystem.

An expression construct containing a nucleic acid encoding a full lengthhuman FRP or Wnt pathway component genes protein, or a soluble FRP orWnt pathway component genes protein can be constructed as follows. Anucleic acid encoding the full length human FRP or Wnt pathway componentgenes protein or a soluble form of FRP or Wnt pathway component genesprotein described above is obtained by reverse transcription (RT-PCR) ofmRNA extracted from human cells expressing FRP or Wnt pathway componentgenes, e.g., human trabecullar meshwork cells using PCR primers based onthe sequence set forth in SEQ ID NO: 1. The PCR primers further containappropriate restriction sites for introduction into the expressionplasmid. The amplified nucleic acid is then inserted in a eukaryoticexpression plasmid such as pcDNAI/Amp (In Vitrogen) containing: 1) SV40origin of replication, 2) ampicillin resistance gens, 3) E. colireplication origin, 4) CMV promoter followed by a polylinker region, aSV40 intron and polyadenylation site. A DNA fragment encoding the fulllength human FRP or Wnt pathway component genes and a HA or myc tagfused in frame to its 3′ end is then cloned into the polylinker regionof the. The HA tag corresponds to an epitope derived from the influenzahemagglutinin protein as previously described (I. Wilson, H. Niman, R.Heighten, A Cherenson, M. Connolly, and R. Lerner, 1984, Cell 37, 767).The infusion of HA tag to FRP or Wnt pathway component genes allows easydetection of the recombinant protein with an antibody that recognizesthe HA epitope.

For expression of the recombinant FRP or Wnt pathway component genes,COS cells are transfected with the expression vector by DEAE-DEXTRANmethod. (J. Sambrook, E. Fritsch, T. Maniatis, Molecular Cloning: ALaboratory Manual, Cold Spring Laboratory Press, (1989)). The expressionof the FRP or Wnt pathway component genes-HA protein can be detected byradiolabelling and immunoprecipitation with an anti-HA antibody. (E.Harlow, D. Lane, Antibodies: A Laboratory Manual, Cold Spring HarborLaboratory Press, (1988)). For this, transfected cells are labeled with³⁵S-cysteine two days post transfection. The cells, or alternatively theculture media (e.g., for the soluble FRP or Wnt pathway component genes)is then collected and the FRP or Wnt pathway component genes proteinimmunoprecipitated with an HA specific monoclonal antibody.Alternatively, expression of the recombinant protein can be detected byWestern blot analysis. To determine whether full length FRP or Wntpathway component genes is a membrane protein, and/or a secretedprotein, the cells transfected with a vector encoding the fall lengthFRP or Wnt pathway component genes protein can be lysed with detergent(RIPA buffer (150 mM NaCl 1% NP-40, 0.1% SDS, 1% NP-40, 0.5% DOC, 50 mMTris, pH 7.5). (Wilson, I. et al., Id. 37:767 (1984)). Proteinsprecipitated can then be analyzed on SDS-PAGE gel. Thus, the presence ofFRP or Wnt pathway component genes in the cell will be indicative thatthe full length FRP or Wnt pathway component genes can be membrane boundand the presence of FRP or Wnt pathway component genes in thesupernatant will be indicative that the protein can also be in a solubleform, whether produced as a secreted protein or released by leakage fromthe cell.

Equivalents

Those skilled in the art will recognize, or be able to ascertain usingno more than routine experimentation, many equivalents of the specificembodiments of the invention described herein. Such equivalents areintended to be encompassed by the following claims.

1. A method for diagnosing glaucoma comprising detecting the expressionlevel of mRNA encoding human frizzled related protein-1 (FRP-1), theamino acid sequence of which is set forth in SEQ ID NO:2, in a patientsample of trabecular meshwork (TM) cells, wherein the detectingcomprises utilizing a hybridization assay using a nucleic acid probethat specifically hybridizes to the mRNA encoding FRP-1, wherein anaberrantly high level of the mRNA relative to that of a normal person isdiagnostic of a glaucomatous state.
 2. The method of claim 1, whereinthe expression level of the mRNA encoding FRP-1 is determined bydetecting the formation of a complex of the mRNA and the nucleic acidprobe that specifically hybridizes to the mRNA.
 3. The method of claim2, wherein the nucleic acid probe is fluorescently labeled.